Amino acid compounds and methods of use

ABSTRACT

The invention relates to compounds of formula (I):or a salt thereof, wherein R1, R5, R7, R8, X, m, n, p and q are as described herein. Compounds of formula (I) and pharmaceutical compositions thereof are αvβ6 integrin inhibitors that are useful for treating tissue specific fibrosis such as idiopathic pulmonary fibrosis (IPF) and nonspecific interstitial pneumonia (NSIP).

CROSS-REFERENCE TO RELATED APPLICATIONS

This application is a Continuation Patent Application of U.S. patent application Ser. No. 16/471,521, which adopts the International Filing Date of Dec. 20, 2017 and which is a National Phase filing under 35 U.S.C. § 371 of International Application No. PCT/US2017/067622 having an International Filing Date of Dec. 20, 2017, which claims priority benefit of U.S. Provisional Patent Application No. 62/438,951 filed Dec. 23, 2016 and of U.S. Provisional Patent Application No. 62/538,564 filed Jul. 28, 2017. The entire contents of those applications are hereby incorporated by reference herein.

TECHNICAL FIELD OF THE INVENTION

This invention relates to amino acid compounds, pharmaceutical compositions comprising the amino acid compounds, and methods of use of the compounds and compositions in treating diseases, such as fibrotic diseases.

BACKGROUND OF THE INVENTION

Fibrosis, a pathologic feature of many diseases, is caused by a dysfunction in the body's natural ability to repair damaged tissues. If left untreated, fibrosis can result in scarring of vital organs causing irreparable damage and eventual organ failure.

Patients with nonalcoholic fatty liver disease (NAFLD) may progress from simple steatosis to nonalcoholic steatohepatitis (NASH) and then fibrosis. While liver fibrosis is reversible in its initial stages, progressive liver fibrosis can lead to cirrhosis.

Fibrosis in the kidney, characterized by glomerulosclerosis and tubulointerstitial fibrosis, is the final common manifestation of a wide variety of chronic kidney diseases (CKD). Irrespective of the initial causes, progressive CKD often results in widespread tissue scarring that leads to destruction of kidney parenchyma and end-stage renal failure, a devastating condition that requires dialysis or kidney replacement.

Scleroderma encompasses a spectrum of complex and variable conditions primarily characterized by fibrosis, vascular alterations, and autoimmunity. The scleroderma spectrum of disorders share the common feature of fibrosis, resulting in hardening or thickening of the skin. For some patients, this hardening occurs only in limited areas, but for others, it can spread to other major organs.

Following myocardial infarction, cardiac structural remodeling is associated with an inflammatory reaction, resulting in scar formation at the site of the infarction. This scar formation is a result of fibrotic tissue deposition which may lead to reduced cardiac function and disruption of electrical activity within the heart.

Crohn's Disease is a chronic disease of unknown etiology tending to progress even in the setting of medical or surgical treatment. Intestinal fibrosis is among the most common complications of Crohn's disease, resulting in stricture formation in the small intestine and colon.

Idiopathic pulmonary fibrosis (IPF) is a chronic, progressive, fibrosing disease of unknown etiology, occurring in adults and limited to the lungs. In IPF, the lung tissue becomes thickened, stiff, and scarred. As lung fibrosis progresses, it becomes more difficult for the lungs to transfer oxygen into the bloodstream and the organs do not receive the oxygen needed to function properly. IPF currently affects approximately 200,000 people in the U.S., resulting in 40,000 deaths per year. Patients diagnosed with IPF experience progressive breathlessness and eventually, complete respiratory failure.

Nonspecific interstitial pneumonia (NSIP) is a rare disorder that affects the tissue that surrounds and separates the tiny air sacs of the lungs. These air sacs, called the alveoli, are where the exchange of oxygen and carbon dioxide takes place between the lungs and the bloodstream. Interstitial pneumonia is a disease in which the mesh-like walls of the alveoli become inflamed. The pleura (a thin covering that protects and cushions the lungs and the individual lobes of the lungs) might become inflamed as well. There are two primary forms of NSIP—cellular and fibrotic. The cellular form is defined mainly by inflammation of the cells of the interstitium. The fibrotic form is defined by thickening and scarring of lung tissue. This scarring is known as fibrosis and is irreversible. When the lung tissue thickens or becomes scarred, it does not function as effectively. Breathing becomes less efficient, and there are lower levels of oxygen in the blood. http://my.clevelandclinic.org/health/diseases_conditions/hic_Pneumonia/hic-nonspecific-interstitial-pneumonia.

Available courses of treatment are scarce, as there are currently no options on the market proven to have an effect on long-term patient survival or symptomatology. There remains a need for treatment of fibrotic diseases.

The αvβ6 integrin is expressed in epithelial cells, and binds to the latency-associated peptide of transforming growth factor-β1 (TGFβ1) and mediates TGFβ1 activation. Its expression level is significantly increased after injury to lung and cholangiocytes, and plays a critical in vivo role in tissue fibrosis. Increased levels are also associated with increased mortality in IPF and NSIP patients.

Primary sclerosing cholangitis (PSC) involves bile duct inflammation, and fibrosis that obliterates the bile ducts. The resulting impediment to the flow of bile to the intestines can lead to cirrhosis of the liver and subsequent complications such as liver failure and liver cancer. Expression of αvβ6 is elevated in liver and bile duct of PSC patients.

The present disclosure provides for αvβ6 integrin inhibitors that may be useful for tissue-specific treatment of fibrosis.

BRIEF SUMMARY OF THE INVENTION

Disclosed are amino acid compounds that are αvβ6 integrin inhibitors, compositions containing these compounds and methods for treating diseases mediated by αvβ6 integrin such as a fibrotic disease.

In one aspect, provided is a compound of formula (I), or any variation thereof, or a salt thereof (e.g., a pharmaceutically acceptable salt thereof), as detailed herein. Also provided is a compound of (I-A), or any variation thereof, or a salt thereof (e.g., a pharmaceutically acceptable salt thereof), as detailed herein.

Further provided is a pharmaceutical composition comprising a compound of formula (I), or any variation thereof detailed herein, or a salt thereof (e.g., a pharmaceutically acceptable salt thereof), and a pharmaceutically acceptable carrier or excipient. Also provided is a pharmaceutical composition comprising a compound of formula (I-A), or any variation thereof detailed herein, or a salt thereof (e.g., a pharmaceutically acceptable salt thereof), and a pharmaceutically acceptable carrier or excipient.

In another aspect, provided is a method of treating a fibrotic disease in an individual (such as a human) in need thereof comprising administering to the individual a therapeutically effective amount of a compound of formula (I), or any variation thereof detailed herein, or a pharmaceutically acceptable salt thereof. In some embodiments, the fibrotic disease is pulmonary fibrosis, liver fibrosis, skin fibrosis, cardiac fibrosis, kidney-fibrosis, gastrointestinal fibrosis, primary sclerosing cholangitis, or biliary-fibrosis. A compound of formula (I-A), or any variation thereof, or a salt thereof (e.g., a pharmaceutically acceptable salt thereof), as detailed herein may also be used in any of the methods detailed herein, such as in a method of delaying the onset and/or development of a fibrotic disease in an individual (such as a human) who is at risk for developing a fibrotic disease.

In another aspect, provided is a method of delaying the onset and/or development of a fibrotic disease in an individual (such as a human) who is at risk for developing a fibrotic disease.

Also provided is a compound of formula (I), or any variation thereof detailed herein, or a pharmaceutical composition thereof, for the treatment of a fibrotic disease.

Also provided is use of a compound of formula (I), or any variation thereof detailed herein, or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for the treatment of a fibrotic disease. Also provided is use of a compound of formula (I-A), or any variation thereof detailed herein, or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for the treatment of a fibrotic disease.

Further provided is a kit comprising a compound of formula (I), or any variation thereof detailed herein, or a pharmaceutically acceptable salt thereof. Further provided is a kit comprising a compound of formula (I-A), or any variation thereof detailed herein, or a pharmaceutically acceptable salt thereof. In some embodiments, the kit comprises instructions for use according to a method described herein, such as a method of treating a fibrotic disease in an individual.

In another aspect, provided is a method of making a compound of formula (I) or any variation thereof. Also provided is a method of making a compound of formula (I-A) or any variation thereof. Also provided are compound intermediates useful in synthesis of a compound of formula (I) or (I-A), or any variation thereof.

DETAILED DESCRIPTION OF THE INVENTION

The invention provides, inter alia, compounds of formula (I), and variations thereof, pharmaceutical compositions comprising compounds of formula (I), and methods of using such compounds and compositions in treating fibrotic diseases. Also provided are compounds of formula (I-A), and variations thereof, pharmaceutical compositions comprising compounds of formula (I-A), and methods of using such compounds and compositions in treating fibrotic diseases.

Definitions

For use herein, unless clearly indicated otherwise, use of the terms “a”, “an” and the like refers to one or more.

Reference to “about” a value or parameter herein includes (and describes) embodiments that are directed to that value or parameter per se. For example, description referring to “about X” includes description of “X”.

“Alkyl” as used herein refers to and includes, unless otherwise stated, a saturated linear (i.e., unbranched) or branched univalent hydrocarbon chain or combination thereof, having the number of carbon atoms designated (i.e., C₁-C₁₀ means one to ten carbon atoms). Particular alkyl groups are those having 1 to 20 carbon atoms (a “C₁-C₂₀ alkyl”), having 1 to 10 carbon atoms (a “C₁-C₁₀ alkyl”), having 6 to 10 carbon atoms (a “C₆-C₁₀ alkyl”), having 1 to 6 carbon atoms (a “C₁-C₆ alkyl”), having 2 to 6 carbon atoms (a “C₂-C₆ alkyl”), or having 1 to 4 carbon atoms (a “C₁-C₄ alkyl”). Examples of alkyl groups include, but are not limited to, groups such as methyl, ethyl, n-propyl, isopropyl, n-butyl, t-butyl, isobutyl, sec-butyl, homologs and isomers of, for example, n-pentyl, n-hexyl, n-heptyl, n-octyl, n-nonyl, n-decyl, and the like.

“Alkylene” as used herein refers to the same residues as alkyl, but having bivalency. Particular alkylene groups are those having 1 to 20 carbon atoms (a “C₁-C₂₀ alkylene”), having 1 to 10 carbon atoms (a “C₁-C₁₀ alkylene”), having 6 to 10 carbon atoms (a “C₆-C₁₀ alkylene”), having 1 to 6 carbon atoms (a “C₁-C₆, alkylene”), 1 to 5 carbon atoms (a “C₁-C₅ alkylene”), 1 to 4 carbon atoms (a “C₁-C₄ alkylene”) or 1 to 3 carbon atoms (a “C₁-C₃ alkylene”). Examples of alkylene include, but are not limited to, groups such as methylene (—CH₂—), ethylene (—CH₂CH₂—), propylene (—CH₂CH₂CH₂—), isopropylene (—CH₂CH(CH₃)—), butylene (—CH₂(CH₂)₂CH₂—), isobutylene (—CH₂CH(CH₃)CH₂—), pentylene (—CH₂(CH₂)₃CH₂—), hexylene (—CH₂(CH₂)₄CH₂—), heptylene (—CH₂(CH₂)₅CH₂—), octylene (—CH₂(CH₂)₆CH₂—), and the like.

“Alkenyl” as used herein refers to and includes, unless otherwise stated, an unsaturated linear (i.e., unbranched) or branched univalent hydrocarbon chain or combination thereof, having at least one site of olefinic unsaturation (i.e., having at least one moiety of the formula C═C) and having the number of carbon atoms designated (i.e., C₂-C₁₀ means two to ten carbon atoms). An alkenyl group may have “cis” or “trans” configurations, or alternatively have “E” or “Z” configurations. Particular alkenyl groups are those having 2 to 20 carbon atoms (a “C₂-C₂₀ alkenyl”), having 6 to 10 carbon atoms (a “C₆-C₁₀ alkenyl”), having 2 to 8 carbon atoms (a “C₂-C₈ alkenyl”), having 2 to 6 carbon atoms (a “C₂-C₆ alkenyl”), or having 2 to 4 carbon atoms (a “C₂-C₄ alkenyl”). Examples of alkenyl group include, but are not limited to, groups such as ethenyl (or vinyl), prop-1-enyl, prop-2-enyl (or allyl), 2-methylprop-1-enyl, but-1-enyl, but-2-enyl, but-3-enyl, buta-1,3-dienyl, 2-methylbuta-1,3-dienyl, homologs and isomers thereof, for example, pent-1-enyl, pent-2-enyl, hex-1-enyl, hex-2-enyl, hex-3-enyl, and the like.

“Alkenylene” as used herein refers to the same residues as alkenyl, but having bivalency. Particular alkylene groups are those having 2 to 20 carbon atoms (a “C₂-C₂₀ alkenylene”), having 2 to 10 carbon atoms (a “C₂-C₁₀ alkenylene”), having 6 to 10 carbon atoms (a “C₆-C₁₀ alkenylene”), having 2 to 6 carbon atoms (a “C₂-C₆ alkenylene”), 2 to 4 carbon atoms (a “C₂-C₄ alkenylene”) or 2 to 3 carbon atoms (a “C₂-C₃ alkenylene”). Examples of alkenylene include, but are not limited to, groups such as ethenylene (or vinylene) (—CH═CH—), propenylene (—CH═CHCH₂—), 1,4-but-1-enylene (—CH═CH—CH₂CH₂—), 1,4-but-2-enylene (—CH₂CH═CHCH₂—), 1,6-hex-1-enylene (—CH═CH—(CH₂)₃CH₂—), and the like.

“Alkynyl” as used herein refers to and includes, unless otherwise stated, an unsaturated linear (i.e., unbranched) or branched univalent hydrocarbon chain or combination thereof, having at least one site of acetylenic unsaturation (i.e., having at least one moiety of the formula C≡C) and having the number of carbon atoms designated (i.e., C₂-C₁₀ means two to ten carbon atoms). Particular alkynyl groups are those having 2 to 20 carbon atoms (a “C₂-C₂₀ alkynyl”), having 6 to 10 carbon atoms (a “C₆-C₁₀ alkynyl”), having 2 to 8 carbon atoms (a “C₂-C₈ alkynyl”), having 2 to 6 carbon atoms (a “C₂-C₆ alkynyl”), or having 2 to 4 carbon atoms (a “C₂-C₄ alkynyl”). Examples of alkynyl group include, but are not limited to, groups such as ethynyl (or acetylenyl), prop-1-ynyl, prop-2-ynyl (or propargyl), but-1-ynyl, but-2-ynyl, but-3-ynyl, homologs and isomers thereof, and the like.

“Alkynylene” as used herein refers to the same residues as alkynyl, but having bivalency. Particular alkylene groups are those having 2 to 20 carbon atoms (a “C₂-C₂₀ alkynylene”), having 2 to 10 carbon atoms (a “C₂-C₁₀ alkynylene”), having 6 to 10 carbon atoms (a “C₆-C₁₀ alkynylene”), having 2 to 6 carbon atoms (a “C₂-C₆ alkynylene”), 2 to 4 carbon atoms (a “C₂-C₄ alkynylene”) or 2 to 3 carbon atoms (a “C₂-C₃ alkynylene”). Examples of alkynylene include, but are not limited to, groups such as ethynylene (or acetylenylene) (—C≡C—), propynylene (—C≡CCH₂—), and the like.

“Cycloalkyl” as used herein refers to and includes, unless otherwise stated, saturated cyclic univalent hydrocarbon structures, having the number of carbon atoms designated (i.e., C₃-C₁₀ means three to ten carbon atoms). Cycloalkyl can consist of one ring, such as cyclohexyl, or multiple rings, such as adamantyl. A cycloalkyl comprising more than one ring may be fused, spiro or bridged, or combinations thereof. Particular cycloalkyl groups are those having from 3 to 12 annular carbon atoms. A preferred cycloalkyl is a cyclic hydrocarbon having from 3 to 8 annular carbon atoms (a “C₃-C₈ cycloalkyl”), having 3 to 6 carbon atoms (a “C₃-C₆ cycloalkyl”), or having from 3 to 4 annular carbon atoms (a “C₃-C₄ cycloalkyl”). Examples of cycloalkyl include, but are not limited to, cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl, norbornyl, and the like.

“Cycloalkylene” as used herein refers to the same residues as cycloalkyl, but having bivalency. Cycloalkylene can consist of one ring or multiple rings which may be fused, spiro or bridged, or combinations thereof. Particular cycloalkylene groups are those having from 3 to 12 annular carbon atoms. A preferred cycloalkylene is a cyclic hydrocarbon having from 3 to 8 annular carbon atoms (a “C₃-C₈ cycloalkylene”), having 3 to 6 carbon atoms (a “C₃-C₆ cycloalkylene”), or having from 3 to 4 annular carbon atoms (a “C₃-C₄ cycloalkylene”). Examples of cycloalkylene include, but are not limited to, cyclopropylene, cyclobutylene, cyclopentylene, cyclohexylene, cycloheptylene, norbornylene, and the like. A cycloalkylene may attach to the remaining structures via the same ring carbon atom or different ring carbon atoms. When a cycloalkylene attaches to the remaining structures via two different ring carbon atoms, the connecting bonds may be cis- or trans- to each other. For example, cyclopropylene may include 1,1-cyclopropylene and 1,2-cyclopropylene (e g, cis-1,2-cyclopropylene or trans-1,2-cyclopropylene), or a mixture thereof.

“Cycloalkenyl” refers to and includes, unless otherwise stated, an unsaturated cyclic non-aromatic univalent hydrocarbon structure, having at least one site of olefinic unsaturation (i.e., having at least one moiety of the formula C═C) and having the number of carbon atoms designated (i.e., C₂-C₁₀ means two to ten carbon atoms). Cycloalkenyl can consist of one ring, such as cyclohexyl, or multiple rings, such as norbornenyl. A preferred cycloalkenyl is an unsaturated cyclic hydrocarbon having from 3 to 8 annular carbon atoms (a “C₃-C₈ cycloalkenyl”). Examples of cycloalkenyl groups include, but are not limited to, cyclopropenyl, cyclobutenyl, cyclopentenyl, cyclohexenyl, norbornenyl, and the like.

“Cycloalkenylene” as used herein refers to the same residues as cycloalkenyl, but having bivalency.

“Aryl” or “Ar” as used herein refers to an unsaturated aromatic carbocyclic group having a single ring (e.g., phenyl) or multiple condensed rings (e.g., naphthyl or anthryl) which condensed rings may or may not be aromatic. Particular aryl groups are those having from 6 to 14 annular carbon atoms (a “C₆-C₁₄ aryl”). An aryl group having more than one ring where at least one ring is non-aromatic may be connected to the parent structure at either an aromatic ring position or at a non-aromatic ring position. In one variation, an aryl group having more than one ring where at least one ring is non-aromatic is connected to the parent structure at an aromatic ring position.

“Arylene” as used herein refers to the same residues as aryl, but having bivalency. Particular arylene groups are those having from 6 to 14 annular carbon atoms (a “C₆-C₁₄ arylene”).

“Heteroaryl” as used herein refers to an unsaturated aromatic cyclic group having from 1 to 14 annular carbon atoms and at least one annular heteroatom, including but not limited to heteroatoms such as nitrogen, oxygen and sulfur. A heteroaryl group may have a single ring (e.g., pyridyl, furyl) or multiple condensed rings (e.g., indolizinyl, benzothienyl) which condensed rings may or may not be aromatic. Particular heteroaryl groups are 5 to 14-membered rings having 1 to 12 annular carbon atoms and 1 to 6 annular heteroatoms independently selected from nitrogen, oxygen and sulfur, 5 to 10-membered rings having 1 to 8 annular carbon atoms and 1 to 4 annular heteroatoms independently selected from nitrogen, oxygen and sulfur, or 5, 6 or 7-membered rings having 1 to 5 annular carbon atoms and 1 to 4 annular heteroatoms independently selected from nitrogen, oxygen and sulfur. In one variation, particular heteroaryl groups are monocyclic aromatic 5-, 6- or 7-membered rings having from 1 to 6 annular carbon atoms and 1 to 4 annular heteroatoms independently selected from nitrogen, oxygen and sulfur. In another variation, particular heteroaryl groups are polycyclic aromatic rings having from 1 to 12 annular carbon atoms and 1 to 6 annular heteroatoms independently selected from nitrogen, oxygen and sulfur. A heteroaryl group having more than one ring where at least one ring is non-aromatic may be connected to the parent structure at either an aromatic ring position or at a non-aromatic ring position. In one variation, a heteroaryl group having more than one ring where at least one ring is non-aromatic is connected to the parent structure at an aromatic ring position. A heteroaryl group may be connected to the parent structure at a ring carbon atom or a ring heteroatom.

“Heteroarylene” as used herein refers to the same residues as heteroaryl, but having bivalency.

“Heterocycle”, “heterocyclic”, or “heterocyclyl” as used herein refers to a saturated or an unsaturated non-aromatic cyclic group having a single ring or multiple condensed rings, and having from 1 to 14 annular carbon atoms and from 1 to 6 annular heteroatoms, such as nitrogen, sulfur or oxygen, and the like. A heterocycle comprising more than one ring may be fused, bridged or spiro, or any combination thereof. In fused ring systems, one or more of the fused rings can be cycloalkyl, aryl or heteroaryl. The heterocyclyl group may be optionally substituted independently with one or more substituents described herein. Particular heterocyclyl groups are 3 to 14-membered lings having 1 to 13 annular carbon atoms and 1 to 6 annular heteroatoms independently selected from nitrogen, oxygen and sulfur, 3 to 12-membered rings having 1 to 11 annular carbon atoms and 1 to 6 annular heteroatoms independently selected from nitrogen, oxygen and sulfur, 3 to 10-membered rings having 1 to 9 annular carbon atoms and 1 to 4 annular heteroatoms independently selected from nitrogen, oxygen and sulfur, 3 to 8-membered rings having 1 to 7 annular carbon atoms and 1 to 4 annular heteroatoms independently selected from nitrogen, oxygen and sulfur, or 3 to 6-membered tings having 1 to 5 annular carbon atoms and 1 to 4 annular heteroatoms independently selected from nitrogen, oxygen and sulfur. In one variation, heterocyclyl includes monocyclic 3-, 4-, 5-, 6- or 7-membered rings having from 1 to 2, 1 to 3, 1 to 4, 1 to 5, or 1 to 6 annular carbon atoms and 1 to 2, 1 to 3, or 1 to 4 annular heteroatoms independently selected from nitrogen, oxygen and sulfur, in another variation, heterocyclyl includes polycyclic non-aromatic rings having from 1 to 12 annular carbon atoms and 1 to 6 annular heteroatoms independently selected from nitrogen, oxygen and sulfur.

“Heterocyclylene” as used herein refers to the same residues as heterocyclyl, but having bivalency.

“Halo” or “halogen” refers to elements of the Group 17 series having atomic number 9 to 85. Preferred halo groups include the radicals of fluorine, chlorine, bromine and iodine. Where a residue is substituted with more than one halogen, it may be referred to by using a prefix corresponding to the number of halogen moieties attached, e.g., dihaloaryl, dihaloalkyl, trihaloaryl etc. refer to aryl and alkyl substituted with two (“di”) or three (“tri”) halo groups, which may be but are not necessarily the same halogen; thus 4-chloro-3-fluorophenyl is within the scope of dihaloaryl. An alkyl group in which each hydrogen is replaced with a halo group is referred to as a “perhaloalkyl.” A preferred perhaloalkyl group is trifluoroalkyl (—CF₃). Similarly, “perhaloalkoxy” refers to an alkoxy group in which a halogen takes the place of each H in the hydrocarbon making up the alkyl moiety of the alkoxy group. An example of a perhaloalkoxy group is trifluoromethoxy-OCF₃).

“Carbonyl” refers to the group C═O.

“Thiocarbonyl” refers to the group C═S.

“Oxo” refers to the moiety ═O.

“Optionally substituted” unless otherwise specified means that a group may be unsubstituted or substituted by one or more (e.g., 1, 2, 3, 4 or 5) of the substituents listed for that group in which the substituents may be the same of different. In one embodiment, an optionally substituted group has one substituent. In another embodiment, an optionally substituted group has two substituents. In another embodiment, an optionally substituted group has three substituents. In another embodiment, an optionally substituted group has four substituents. In some embodiments, an optionally substituted group has 1 to 2, 1 to 3, 1 to 4, 1 to 5, 2 to 3, 2 to 4, or 2 to 5 substituents.

Unless clearly indicated otherwise, “an individual” as used herein intends a mammal, including but not limited to a primate, human, bovine, horse, feline, canine, or rodent. In one variation, the individual is a human.

As used herein, “treatment” or “treating” is an approach for obtaining beneficial or desired results including clinical results. For purposes of this invention, beneficial or desired results include, but are not limited to, one or more of the following, decreasing one more symptoms resulting from the disease, diminishing the extent of the disease, stabilizing the disease (e.g., preventing or delaying the worsening of the disease), preventing or delaying the spread of the disease, delaying the occurrence or recurrence of the disease, delay or slowing the progression of the disease, ameliorating the disease state, providing a remission (whether partial or total) of the disease, decreasing the dose of one or more other medications required to treat the disease, enhancing effect of another medication, delaying the progression of the disease, increasing the quality of life, and/or prolonging survival. Also encompassed by “treatment” is a reduction of pathological consequence of fibrosis. The methods of the invention contemplate any one or more of these aspects of treatment.

As used herein, the term “effective amount” intends such amount of a compound of the invention which should be effective in a given therapeutic form. As is understood in the art, an effective amount may be in one or more doses, i.e., a single dose or multiple doses may be required to achieve the desired treatment endpoint. An effective amount may be considered in the context of administering one or more therapeutic agents (e.g., a compound, or pharmaceutically acceptable salt thereof), and a single agent may be considered to be given in an effective amount if, in conjunction with one or more other agents, a desirable or beneficial result may be or is achieved. Suitable doses of any of the co-administered compounds may optionally be lowered due to the combined action (e.g., additive or synergistic effects) of the compounds.

A “therapeutically effective amount” refers to an amount of a compound or salt thereof sufficient to produce a desired therapeutic outcome.

As used herein, “unit dosage form” refers to physically discrete units, suitable as unit dosages, each unit containing a predetermined quantity of active ingredient calculated to produce the desired therapeutic effect in association with the required pharmaceutical carrier. Unit dosage forms may contain a single or a combination therapy.

As used herein, the term “controlled release” refers to a drug-containing formulation or fraction thereof in which release of the drug is not immediate, i.e., with a “controlled release” formulation, administration does not result in immediate release of the drug into an absorption pool. The term encompasses depot formulations designed to gradually release the drug compound over an extended period of time. Controlled release formulations can include a wide variety of drug delivery systems, generally involving mixing the drug compound with carriers, polymers or other compounds having the desired release characteristics (e.g., pH-dependent or non-pH-dependent solubility, different degrees of water solubility, and the like) and formulating the mixture according to the desired route of delivery (e.g., coated capsules, implantable reservoirs, injectable solutions containing biodegradable capsules, and the like).

As used herein, by “pharmaceutically acceptable” or “pharmacologically acceptable” is meant a material that is not biologically or otherwise undesirable, e.g., the material may be incorporated into a pharmaceutical composition administered to a patient without causing any significant undesirable biological effects or interacting in a deleterious manner with any of the other components of the composition in which it is contained. Pharmaceutically acceptable carriers or excipients have preferably met the required standards of toxicological and manufacturing testing and/or are included on the Inactive Ingredient Guide prepared by the U.S. Food and Drug administration.

“Pharmaceutically acceptable salts” are those salts which retain at least some of the biological activity of the free (non-salt) compound and which can be administered as drugs or pharmaceuticals to an individual. Such salts, for example, include: (1) acid addition salts, formed with inorganic acids such as hydrochloric acid, hydrobromic acid, sulfuric acid, nitric acid, phosphoric acid, and the like; or formed with organic acids such as acetic acid, oxalic acid, propionic acid, succinic acid, maleic acid, tartaric acid and the like; (2) salts formed when an acidic proton present in the parent compound either is replaced by a metal ion, e.g., an alkali metal ion, an alkaline earth ion, or an aluminum ion; or coordinates with an organic base. Acceptable organic bases include ethanolamine, diethanolamine, triethanolamine and the like. Acceptable inorganic bases include aluminum hydroxide, calcium hydroxide, potassium hydroxide, sodium carbonate, sodium hydroxide, and the like. Pharmaceutically acceptable salts can be prepared in situ in the manufacturing process, or by separately reacting a purified compound of the invention in its free acid or base form with a suitable organic or inorganic base or acid, respectively, and isolating the salt thus formed during subsequent purification.

The term “excipient” as used herein means an inert or inactive substance that may be used in the production of a drug or pharmaceutical, such as a tablet containing a compound of the invention as an active ingredient. Various substances may be embraced by the term excipient, including without limitation any substance used as a binder, disintegrant, coating, compression/encapsulation aid, cream or lotion, lubricant, solutions for parenteral administration, materials for chewable tablets, sweetener or flavoring, suspending/gelling agent, or wet granulation agent. Binders include, e.g., carbomers, povidone, xanthan gum, etc.; coatings include, e.g., cellulose acetate phthalate, ethylcellulose, gellan gum, maltodextrin, enteric coatings, etc.; compression/encapsulation aids include, e.g., calcium carbonate, dextrose, fructose dc (dc=“directly compressible”), honey dc, lactose (anhydrate or monohydrate, optionally in combination with aspartame, cellulose, or microcrystalline cellulose), starch dc, sucrose, etc.; disintegrants include, e.g., croscarmellose sodium, gellan gum, sodium starch glycolate, etc.; creams or lotions include, e.g., maltodextrin, carrageenans, etc.; lubricants include, e.g., magnesium stearate, stearic acid, sodium stearyl fumarate, etc.; materials for chewable tablets include, e.g., dextrose, fructose dc, lactose (monohydrate, optionally in combination with aspartame or cellulose), etc; suspending/gelling agents include, e.g., carrageenan, sodium starch glycolate, xanthan gum, etc., sweeteners include, e g, aspartame, dextrose, fructose dc, sorbitol, sucrose dc, etc.; and wet granulation agents include, e.g., calcium carbonate, maltodextrin, microcrystalline cellulose, etc.

Compounds

In one aspect, provided is a compound of formula (I):

or a salt thereof, wherein:

R¹ is C₁-C₆ alkyl, C₃-C₈ cycloalkyl, C₆-C₁₄ aryl, 5- to 10-membered heteroaryl, 3- to 12-membered heterocyclyl, —OR² or —NR^(3a)R^(3b), wherein the C₁-C₆ alkyl, C₃-C₈ cycloalkyl, C₆-C₁₄ aryl, 5- to 10-membered heteroaryl, and 3- to 12-membered heterocyclyl of R¹ are independently optionally substituted by R¹⁰;

R² is C₁-C₆ alkyl, C₃-C₈ cycloalkyl, C₆-C₁₄ aryl, 5- to 10-membered heteroaryl, or 3- to 12-membered heterocyclyl, wherein the C₁-C₆ alkyl, C₃-C₈ cycloalkyl, C₆-C₁₄ aryl, 5- to 10-membered heteroaryl, and 3- to 12-membered heterocyclyl of R² are independently optionally substituted by R¹⁰;

R^(3a) and R^(3b) are independently hydrogen. C₁-C₆ alkyl, C₃-C₈ cycloalkyl, C₆-C₁₄ aryl, 5- to 10-membered heteroaryl, or 3- to 12-membered heterocyclyl, wherein the C₁-C₆ alkyl, C₃-C₈ cycloalkyl, C₆-C₁₄ aryl, 5- to 10-membered heteroaryl, and 3- to 12-membered heterocyclyl of R^(3a) and R^(3b) are independently optionally substituted by R¹⁰;

-   -   or R^(3a) and R^(3b) are taken together with the nitrogen to         which they are attached to form a 4- to 8-membered heterocyclyl         optionally substituted by R¹⁰;

n is 1 or 2;

m is 0 to 6;

each R⁵, where present, is independently C₁-C₆ alkyl, C₃-C₆ cycloalkyl, halogen, —CN. —OR^(5a), —C(O)OR^(5a), —NR^(5a)C(O)R^(5b); —NR^(5c)R^(5d), —C(O)NR^(5c)R^(5d), —SO₂R^(5c), or —SO₂NR^(5c)R^(5d), wherein the C₁-C₆ alkyl and C₃-C₆ cycloalkyl are independently optionally substituted by R¹⁰;

each R^(5a) and R^(5b) is independently hydrogen, C₁-C₆ alkyl, C₃-C₈ cycloalkyl, C₆-C₁₄ aryl, 5- to 10-membered heteroaryl, or 3- to 12-membered heterocyclyl, wherein the C₁-C₆ alkyl, C₃-C₈ cycloalkyl, C₆-C₁₄ aryl, 5- to 10-membered heteroaryl, and 3- to 12-membered heterocyclyl of R^(5a) and R^(5b) are independently optionally substituted by R¹⁰;

each R^(5c) and R^(5d) is independently hydrogen, C₁-C₆ alkyl, C₃-C₈ cycloalkyl, C₆-C₁₄ aryl, 5- to 10-membered heteroaryl, or 3- to 12-membered heterocyclyl, wherein the C₁-C₆ alkyl, C₃-C₈ cycloalkyl, C₆-C₁₄ aryl, 5- to 10-membered heteroaryl, and 3- to 12-membered heterocyclyl of R^(5c) and R^(5d) are independently optionally substituted by R¹⁰;

-   -   or R^(5c) and R^(5d) are taken together with the nitrogen to         which they are attached to form a 4- to 8-membered heterocyclyl         optionally substituted by R¹⁰;

each R^(5e) is independently C₁-C₆ alkyl, C₃-C₈ cycloalkyl, C₆-C₁₄ aryl, 5- to 10-membered heteroaryl, or 3- to 12-membered heterocyclyl, wherein the C₁-C₆ alkyl. C₃-C₈ cycloalkyl, C₆-C₁₄ aryl, 5- to 10-membered heteroaryl, and 3- to 12-membered heterocyclyl of R^(5e) are independently optionally substituted by R¹⁰;

X is C₁-C₃ alkylene optionally substituted by R¹⁰;

p is 0 to 2;

q is 0 to 6;

each R⁷, where present, is independently C₁-C₆ alkyl optionally substituted by halogen or —OH, C₃-C₆ cycloalkyl, halogen, —CN, —NO₂, —OR^(7a), or —NR^(7b)R^(7c);

each R^(7a), R^(7b) and R^(7c) is independently hydrogen or C₁-C₃ alkyl;

each R⁸, where present, is independently C₁-C₆ alkyl, C₃-C₆ cycloalkyl; halogen, oxo or —OR^(8a), wherein the C₁-C₆ alkyl and C₃-C₆ cycloalkyl are independently optionally substituted by R¹⁰;

R^(8a) is hydrogen or C₁-C₆ alkyl;

each R⁹ is independently C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, halogen, —CN, —OR¹¹, —SR¹¹, —NR¹²R¹³, —NO₂, —C═NH(OR¹¹), —C(O)R¹¹, —OC(O)R¹¹, —C(O)OR¹¹, —C(O)NR¹²R¹³, —NR¹¹C(O)R¹², —NR¹¹C(O)OR¹², —NR¹¹C(O)NR¹²R¹³, —S(O)R¹¹, —S(O)₂R¹¹, —NR¹¹S(O)R¹², —NR¹¹S(O)₂R¹², —S(O)NR¹²R¹³, —S(O)₂NR¹²R¹³, —P(O)(OR¹²)(OR¹³), C₃-C₈ cycloalkyl, 3- to 12-membered heterocyclyl, 5- to 10-membered heteroaryl, C₆-C₁₄ aryl, wherein each R⁹ is independently optionally substituted by halogen, oxo, —OR¹⁴, —NR¹⁴R¹⁵, —C(O)R¹⁴, —CN, —S(O)R¹⁴, —S(O)₂R¹⁴, —P(O)(OR¹⁴)(OR¹⁵), C₃-C₈ cycloalkyl, 3- to 12-membered heterocyclyl, 5- to 10-membered heteroaryl, C₆-C₁₄ aryl, or C₁-C₆ alkyl optionally substituted by oxo, —OH or halogen;

each R¹⁰ is independently oxo or R⁹;

R¹¹ is independently hydrogen, C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, C₃-C₆ cycloalkyl, C₆-C₁₄ aryl, 5- to 6-membered heteroaryl or 3- to 6-membered heterocyclyl, wherein the C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, C₃-C₆ cycloalkyl, C₆-C₁₄ aryl, 5- to 6-membered heteroaryl and 3- to 6-membered heterocyclyl are independently optionally substituted by halogen, oxo, —CN, —OR¹⁶, —NR¹⁶R¹⁷, —P(O)(OR¹⁶)(OR¹⁷), or C₁-C₆ alkyl optionally substituted by halogen, —OH or oxo;

R¹² and R¹³ are each independently hydrogen, C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, C₃-C₆ cycloalkyl, C₆-C₁₄ aryl, 5- to 6-membered heteroaryl or 3- to 6-membered heterocyclyl, wherein the C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, C₃-C₁₆ cycloalkyl, C₆-C₁₄ aryl, 5- to 6-membered heteroaryl and 3- to 6-membered heterocyclyl are independently optionally substituted by halogen, oxo, —CN, —OR¹⁶, —NR¹⁶R¹⁷ or C₁-C₆ alkyl optionally substituted by halogen, —OH or oxo;

-   -   or R¹² and R¹³ are taken together with the atom to which they         attached to form a 3- to 6-membered heterocyclyl optionally         substituted by halogen, oxo, —OR¹⁶, —NR¹⁶R¹⁷, or C₁-C₆ alkyl         optionally substituted by halogen, oxo or —OH;

R¹⁴ and R¹⁵ are each independently hydrogen, C₁-C₆ alkyl optionally substituted by halogen or oxo, C₂-C₆ alkenyl optionally substituted by halogen or oxo, or C₂-C₆ alkynyl optionally substituted by halogen or oxo;

-   -   or R¹⁴ and R¹⁵ are taken together with the atom to which they         attached to form a 3- to 6-membered heterocyclyl optionally         substituted by halogen, oxo or C₁-C₆ alkyl optionally         substituted by halogen or oxo; and

R¹⁶ and R¹⁷ are each independently hydrogen, C₁-C₆ alkyl optionally substituted by halogen or oxo, C₂-C₆ alkenyl optionally substituted by halogen or oxo, or C₂-C₆ alkynyl optionally substituted by halogen or oxo;

-   -   or R¹⁶ and R¹⁷ are taken together with the atom to which they         attached to form a 3-6 membered heterocyclyl optionally         substituted by halogen, oxo or C₁-C₆ alkyl optionally         substituted by oxo or halogen.

In another aspect is provided is a compound of formula (I-A):

or a salt thereof, wherein:

R¹ is C₁-C₆ alkyl. C₃-C₈ cycloalkyl, C₆-C₁₄ aryl, 5- to 10-membered heteroaryl, 3- to 12-membered heterocyclyl, —OR² or —NR^(3a)R^(3b), wherein the C₁-C₆ alkyl, C₃-C₈ cycloalkyl, C₆-C₁₄ aryl, 5- to 10-membered heteroaryl, and 3- to 12-membered heterocyclyl of R¹ are independently optionally substituted by R¹⁰;

R² is C₁-C₆ alkyl, C₃-C₈ cycloalkyl, C₆-C₁₄ aryl, 5- to 10-membered heteroaryl, or 3- to 12-membered heterocyclyl, wherein the C₁-C₆ alkyl, C₃-C₈ cycloalkyl, C₆-C₁₄ aryl, 5- to 10-membered heteroaryl, and 3- to 12-membered heterocyclyl of R² are independently optionally substituted by R¹⁰;

R^(3a) and R^(3b) are independently hydrogen, C₁-C₆ alkyl, C₃-C₈ cycloalkyl, C₆-C₁₄ aryl, 5- to 10-membered heteroaryl, or 3- to 12-membered heterocyclyl, wherein the C₁-C₆ alkyl, C₃-C₈ cycloalkyl, C₆-C₁₄ aryl, 5- to 10-membered heteroaryl, and 3- to 12-membered heterocyclyl of R^(3a) and R^(3b) are independently optionally substituted by R¹⁰;

-   -   or R^(3a) and R^(3b) are taken together with the nitrogen to         which they are attached to form a 4- to 8-membered heterocyclyl         optionally substituted by R¹⁰;

n is 1 or 2;

s is 0, 1 or 2, wherein the sum of n and s is 1, 2 or 3;

the ling defined by

is present or absent;

m is 0 to 6;

each R⁵, where present, is independently C₁-C₆ alkyl, C₃-C₆ cycloalkyl, halogen, —CN, —OR^(5a), —C(O)OR^(5a), —NR^(5a)C(O)R^(5b); —NR^(5c)R^(5d), —C(O)NR^(5c)R^(5d), —SO₂R^(5e), or —SO₂NR^(5c)R^(5d), wherein the C₁-C₆ alkyl and C₃-C₆ cycloalkyl are independently optionally substituted by R¹⁰;

each R^(5a) and R^(5b) is independently hydrogen, C₁-C₆ alkyl, C₃-C₈ cycloalkyl, C₆-C₁₄ aryl, 5- to 10-membered heteroaryl, or 3- to 12-membered heterocyclyl, wherein the C₁-C₆ alkyl, C₃-C₈ cycloalkyl, C₆-C₁₄ aryl, 5- to 10-membered heteroaryl, and 3- to 12-membered heterocyclyl of R^(5a) and R^(5b) are independently optionally substituted by R¹⁰;

each R^(5c) and R^(5d) is independently hydrogen, C₁-C₆ alkyl, C₃-C₈ cycloalkyl, C₆-C₁₄ aryl, 5- to 10-membered heteroaryl, or 3- to 12-membered heterocyclyl, wherein the C₁-C₆ alkyl, C₃-C₈ cycloalkyl, C₆-C₁₄ aryl, 5- to 10-membered heteroaryl, and 3- to 12-membered heterocyclyl of R^(5c) and R^(5d) are independently optionally substituted by R¹⁰;

-   -   or R^(5c) and R^(5d) are taken together with the nitrogen to         which they are attached to form a 4- to 8-membered heterocyclyl         optionally substituted by R¹⁰;

each R^(5e) is independently C₁-C₆ alkyl, C₃-C₈ cycloalkyl, C₆-C₁₄ aryl, 5- to 10-membered heteroaryl, or 3- to 12-membered heterocyclyl, wherein the C₁-C₆ alkyl, C₃-C₈ cycloalkyl, C₆-C₁₄ aryl, 5- to 10-membered heteroaryl, and 3- to 12-membered heterocyclyl of R^(5e) are independently optionally substituted by R¹⁰;

X is C₁-C₃ alkylene optionally substituted by R¹⁰, —N(R¹¹)—C₁-C₃ alkylene optionally substituted by R¹⁰, —C₁-C₃ alkylene-N(R¹¹)— optionally substituted by R¹⁰, —C₁-C₃ alkylene-N(R¹¹)—C₁-C₃ alkylene- optionally substituted by R¹⁰, —O—C₁-C₃ alkylene optionally substituted by R¹⁰, —C₁-C₃ alkylene-O— optionally substituted by R¹⁰, —C₁-C₃ alkylene-O—C₁-C₃ alkylene- optionally substituted by R¹⁰;

Y is C(R^(ya))(R^(yb)) or N(R¹¹);

each of R^(ya) and R^(yb) is independently H, C₁-C₆ alkyl, C₃-C₆ cycloalkyl, halogen, —CN, —OR^(5a), —C(O)OR^(5a), —NR^(5a)C(O)R^(5b); —NR^(5c)R^(5d), —C(O)NR^(5c)R^(5d), —SO₂R^(5c), or —SO₂NR^(5c)R^(5d), wherein the C₁-C₆ alkyl and C₃-C₆ cycloalkyl are independently optionally substituted by R¹⁰;

p is 0 to 2;

q is 0 to 6;

each R⁷, where present, is independently C₁-C₆ alkyl optionally substituted by halogen or —OH, C₃-C₆ cycloalkyl, halogen, —CN, —NO₂, —OR^(7a), or —NR^(7b)R^(7c);

each R^(7a), R^(7b) and R^(7c) is independently hydrogen or C₁-C₃ alkyl;

each R⁸, where present, is independently C₁-C₆ alkyl, C₃-C₆ cycloalkyl; halogen, oxo or —OR^(8a), wherein the C₁-C₆ alkyl and C₃-C₆ cycloalkyl are independently optionally substituted by R¹⁰;

R^(8a) is hydrogen or C₁-C₆ alkyl;

each R⁹ is independently C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, halogen, —CN, —OR¹¹, —SR¹¹, —NR¹²R¹³, —NO₂, —C═NH(OR¹¹), —C(O)R¹¹, —OC(O)R¹¹, —C(O)OR¹¹, —C(O)NR¹²R¹³, —NR¹¹C(O)R¹², —NR¹¹C(O)OR¹², —NR¹¹C(O)NR¹²R¹³, —S(O)R¹¹, —S(O)₂R¹¹, —NR¹¹S(O)R¹², —NR¹¹S(O)₂R¹², —S(O)NR¹²R¹³, —S(O)₂NR¹²R¹³, —P(O)(OR¹²)(OR¹³), C₃-C₈ cycloalkyl, 3- to 12-membered heterocyclyl, 5- to 10-membered heteroaryl, C₆-C₁₄ aryl, wherein each R⁹ is independently optionally substituted by halogen, oxo, —OR¹¹, —NR¹⁴R¹⁵, —C(O)R¹⁴, —CN, —S(O)R¹⁴, —S(O)₂R¹⁴, —P(O)(OR¹⁴)(OR¹⁵), C₃-C₈ cycloalkyl, 3- to 12-membered heterocyclyl, 5- to 10-membered heteroaryl, C₆-C₁₄ aryl, or C₁-C₆ alkyl optionally substituted by oxo, —OH or halogen;

each R¹⁰ is independently oxo or R⁹;

R¹¹ is independently hydrogen, C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, C₃-C₆ cycloalkyl, C₆-C₁₄ aryl, 5- to 6-membered heteroaryl or 3- to 6-membered heterocyclyl, wherein the C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, C₃-C₆ cycloalkyl, C₆-C₁₄ aryl, 5- to 6-membered heteroaryl and 3- to 6-membered heterocyclyl are independently optionally substituted by halogen, oxo, —CN, —OR¹⁶, —NR¹⁶R¹⁷, —P(O)(OR¹⁶)(OR¹⁷), or C₁-C₆ alkyl optionally substituted by halogen, —OH or oxo;

R¹² and R¹³ are each independently hydrogen, C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, C₃-C₆ cycloalkyl, C₆-C₁₄ aryl, 5- to 6-membered heteroaryl or 3- to 6-membered heterocyclyl, wherein the C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, C₃-C₁₆ cycloalkyl, C₆-C₁₄ aryl, 5- to 6-membered heteroaryl and 3- to 6-membered heterocyclyl are independently optionally substituted by halogen, oxo, —CN, —OR¹⁶, —NR¹⁶R¹⁷ or C₁-C₆ alkyl optionally substituted by halogen, —OH or oxo;

-   -   or R¹² and R¹³ are taken together with the atom to which they         attached to form a 3- to 6-membered heterocyclyl optionally         substituted by halogen, oxo, —OR¹⁶, —NR¹⁶R¹⁷, or C₁-C₆ alkyl         optionally substituted by halogen, oxo or —OH;

R¹⁴ and R¹⁵ are each independently hydrogen, C₁-C₆ alkyl optionally substituted by halogen or oxo, C₂-C₆ alkenyl optionally substituted by halogen or oxo, or C₂-C₆ alkynyl optionally substituted by halogen or oxo;

-   -   or R¹⁴ and R¹⁵ are taken together with the atom to which they         attached to form a 3- to 6-membered heterocyclyl optionally         substituted by halogen, oxo or C₁-C₆ alkyl optionally         substituted by halogen or oxo; and

R¹⁶ and R¹⁷ are each independently hydrogen, C₁-C₆ alkyl optionally substituted by halogen or oxo, C₂-C₆ alkenyl optionally substituted by halogen or oxo, or C₂-C₆ alkynyl optionally substituted by halogen or oxo;

or R¹⁶ and R¹⁷ are taken together with the atom to which they attached to form a 3-6 membered heterocyclyl optionally substituted by halogen, oxo or C₁-C₆ alkyl optionally substituted by oxo or halogen.

It is understood that when the ring defined by

is present, only one such ring is present.

In some embodiments, the compound of the formula (I) is a derivative of (S)-2-acylaminobutanoic acid, having the formula (Ia):

or a salt thereof, wherein R¹, R⁵, R⁷, R⁸, X, m, n, p and q are as defined for formula (I).

In some embodiments, the compound of the formula (I) is a derivative of (R)-2-acylaminobutanoic acid, having the formula (Ib):

or a salt thereof, wherein R¹, R⁵, R⁷, R⁸, X, m, n, p and q are as defined for formula (I).

In some embodiments of the compound of formula (I), (Ia) or (Ib), or a salt thereof, n is 1. In some embodiments, n is 2. In some of these embodiments, m is 0. In some these embodiments, m is 1. In some these embodiments, m is 2. In some these embodiments, m is 3. In some these embodiments, m is 4. In some these embodiments, m is 5. In some these embodiments, m is 6. In some embodiments, m is 1 or 2.

In some embodiments of the compound of formula (I), (Ia) or (Ib), or a salt thereof, each R⁵, where present, is independently C₁-C₆ alkyl optionally substituted by R¹⁰, C₃-C₆ cycloalkyl optionally substituted by R¹⁰, halogen, —CN, —OR^(5a), —C(O)OR^(5a), —NR^(5a)C(O)R^(5b); —NR^(5c)R^(5d), —C(O)NR^(5c)R^(5d), —SO₂R^(5e) or —SO₂NR^(5c)R^(5d). In some of these embodiments, each R^(5a) and R^(5b) is independently hydrogen, C₁-C₆ alkyl optionally substituted by R¹⁰; C₃-C₈ cycloalkyl optionally substituted by R¹⁰; C₆-C₁₄ aryl optionally substituted by R¹⁰; 5- to 10-membered heteroaryl optionally substituted by R¹⁰; or 3- to 12-membered heterocyclyl optionally substituted by R¹⁰. In some of these embodiments, each R^(5c) and R^(5d) is independently hydrogen. C₁-C₆ alkyl optionally substituted by R¹⁰; C₃-C₈ cycloalkyl optionally substituted by R¹⁰; C₆-C₁₄ aryl optionally substituted by R¹⁰; 5- to 10-membered heteroaryl optionally substituted by R¹⁰; or 3- to 12-membered heterocyclyl optionally substituted by R¹⁰; or R^(5c) and R^(5d) are taken together with the nitrogen to which they are attached to form a 4- to 8-membered heterocyclyl optionally substituted by R¹⁰. In some of these embodiments, R^(5e) is C₁-C₆ alkyl optionally substituted by R¹⁰; C₃-C₈ cycloalkyl optionally substituted by R¹⁰; C₆-C₁₄ aryl optionally substituted by R¹⁰; 5- to 10-membered heteroaryl optionally substituted by R¹⁰; or 3- to 12-membered heterocyclyl optionally substituted by R¹⁰.

In some embodiments of the compound of formula (I), where n is 1 and m is 0, the compound is of the formula (II):

or a salt thereof, wherein R¹, R⁷, R⁸, X, p and q are as defined for formula (I).

In some embodiments, the compound of the formula (II) is a derivative of (S)-2-acylaminobutanoic acid, having the formula (IIa):

or a salt thereof, wherein R¹, R⁷, R⁸, X, p and q are as defined for formula (I) or (II).

In some embodiments, the compound of the formula (II) is a derivative of (R)-2-acylaminobutanoic acid, having the formula (IIb):

or a salt thereof, wherein R¹, R⁷, R⁸, X, p and q are as defined for formula (I) or (II).

In some embodiments of the compound of formula (I), where n is 2 and m is 0, the compound is of the formula (III):

or a salt thereof, wherein R¹, R⁷, R⁸, X, p and q are as defined for formula (I).

In some embodiments, the compound of the formula (III) is a derivative of (S)-2-acylaminobutanoic acid, having the formula (IIIa):

or a salt thereof, wherein R¹, R⁷, R⁸, X, p and q are as defined for formula (I) or (III).

In some embodiments, the compound of the formula (III) is a derivative of (R)-2-acylaminobutanoic acid, having the formula (IIb):

or a salt thereof, wherein R¹, R⁷, R⁸, X, p and q are as defined for formula (I) or (III).

In some embodiments of the compound of formula (I), (Ia), (Ib), (II), (IIa), (IIb), (III), (IIIa) or (IIIb), or a salt thereof, X is C₁-C₃ alkylene optionally substituted by R¹⁰. In some embodiments, X is C₁-C₂ alkylene optionally substituted by R¹⁰. In some embodiments, X is methylene optionally substituted by 1 or 2 groups selected from R¹⁰. In some embodiments, X is ethylene optionally substituted by 1 to 4 groups selected from R¹⁰. In some embodiments, X is propylene optionally substituted by 1 or 5 groups selected from R¹⁰. In some embodiments, X is methylene. In some embodiments, X is ethylene. In some embodiments, X is propylene.

It is intended and understood that each and every variation of n, m and R⁵ described herein, may be combined with each and every variation of X described herein, the same as if each and every combination is individually and specifically described. For example, in some embodiments of the compound of formula (I), (Ia), (Ib), (II), (IIa), (IIb), (III), (IIIa) or (IIIb), or a salt thereof, n is 1, m is 0, and X is ethylene. In some embodiments of the compound of formula (I), (Ia), (Ib), (II), (IIa), (IIb), (III), (IIIa) or (IIIb), or a salt thereof, n is 2, m is 0, and X is ethylene.

In some embodiments of the compound of formula (I), where n is 1, m is 0, and X is ethylene, the compound is of the formula (IV):

or a salt thereof, wherein R¹, R⁷, R⁸, p and q are as defined for formula (I) or (II).

In some embodiments, the compound of the formula (IV) is of the formula (IVa):

or a salt thereof, wherein R¹, R⁷, R⁸, p and q are as defined for formula (I) or (II).

In some embodiments, the compound of the formula (IV) is of the formula (IVb):

or a salt thereof, wherein R¹, R⁷, R⁸, p and q are as defined for formula (I) or (II).

In some embodiments, the compound of the formula (IV) is of the formula (IVc):

or a salt thereof, wherein R¹, R⁷, R⁸, p and q are as defined for formula (I) or (II).

In some embodiments, the compound of the formula (IV) is of the formula (IVd):

or a salt thereof, wherein R¹, R⁷, R⁸, p and q are as defined for formula (I) or (II).

In some embodiments of the compound of formula (I), where n is 2, m is 0, and X is ethylene, the compound is of the formula (V).

or a salt thereof, wherein R¹, R⁷, R⁸, p and q are as defined for formula (I) or (III).

In some embodiments, the compound of the formula (V) is of the formula (Va):

or a salt thereof, wherein R¹, R⁷, R⁸, p and q are as defined for formula (I) or (III).

In some embodiments, the compound of the formula (V) is of the formula (Vb):

or a salt thereof, wherein R¹, R⁷, R⁸, p and q are as defined for formula (I) or (III).

In some embodiments of the compound of formula (I), (Ia), (Ib), (II), (IIa), (IIb), (III), (IIIa), (IIIb), (IV), (IVa), (IVb), (IVc), (IVd), (V), (Va) or (Vb), or a salt thereof, R¹ is C₁-C₆ alkyl optionally substituted by R¹⁰; C₃-C₈ cycloalkyl optionally substituted by R¹⁰; C₆-C₁₄ aryl optionally substituted by R¹⁰; 5- to 10-membered heteroaryl optionally substituted by R¹⁰; 3- to 12-membered heterocyclyl optionally substituted by R¹⁰; —OR²; or —NR^(3a)R^(3b).

In some embodiments, R¹ is a C₁-C₆ alkyl (e.g., t-butyl) optionally substituted by R¹⁰. In some embodiments,

In some embodiments, R¹ is —OR² or —NR^(3a)R^(3b).

In some embodiments, R¹ is —OR². In some embodiments, R² is C₁-C₆, alkyl (e.g., t-butyl).

In some embodiments. R¹ is —NR^(3a)R^(3b). In some embodiments, R¹ is a 4- to 8-membered heterocyclyl optionally substituted by R¹⁰ formed by R^(3a) and R^(3b) taken together with the nitrogen to which they are attached.

In some embodiments, R¹ is C₃-C₈ cycloalkyl (e.g., cyclohexyl) optionally substituted by R¹⁰. In some embodiments. R¹ is 4,4-difluorocyclohexyl.

In some embodiments, R¹ is C₆-C₁₄ aryl optionally substituted by R¹⁰. In some embodiments. R¹ is phenyl optionally substituted by R¹⁰.

In some embodiments. R¹ is 5- or 10-membered heteroaryl optionally substituted by R¹⁰. In some embodiments, R¹ is 5- to 6-membered monocyclic heteroaryl optionally substituted by R¹⁰. In some embodiments, R¹ is pyridyl (e.g., 2-pyridyl, 3-pyridyl or 4-pyridyl) optionally substituted by R¹⁰. In some embodiments. R¹ is 8- to 10-membered bicyclic heteroaryl optionally substituted by R¹⁰. In some embodiments, R¹ is indazolyl (e.g., 4-indozyl, 5-indozyl, 6-indozyl or 7-indozyl) optionally substituted by R¹⁰.

In some embodiments, R¹ is 3- to 12-membered heterocyclyl optionally substituted by R¹⁰. In some embodiments, R¹ is piperidinyl (e.g., piperidin-4-yl) optionally substituted by R¹⁰. In some embodiments, R¹ is 1-cyclopropylpiperidin-4-yl. In some embodiments, R¹ is tetrahydropyranyl (e.g., tetrahydropyran-4-yl) optionally substituted by R¹⁰. In some embodiments, R¹ is 4-methyltetrahydropyran-4-yl.

It is intended and understood that each and every variation of R¹ described herein, may be combined with each and every variation of X, n, m and R⁵ described herein, the same as if each and every combination is individually and specifically described. For example, in some embodiments of the compound of formula (I), (Ia), (Ib), (II), (IIa), (IIb), (III), (IIIa), (IIIlb), (IV), (IVa), (IVb), (IVc), (IVd), (V), (Va) or (Vb), or a salt thereof, R¹ is selected from the group consisting of:

In the compound of formula (I), (Ia), (Ib), (II), (IIa), (IIb), (III), (IIIa), (IIIb), (IV), (IVa), (IVb), (IVc), (IVd), (V), (Va) or (Vb), or a salt thereof, the 5,6,7,8-tetrahydro-1,8-naphthyridine ring may be unsubstituted or substituted. In some embodiments, p is 0. In some embodiments, q is 0. In some embodiments, p and q are 0. In some embodiments, p is 1 or 2, and each R⁷ is independently C₁-C₆ alkyl optionally substituted by halogen or —OH, C₃-C₆ cycloalkyl, halogen, —CN, —NO₂, —OR^(7a), or —NR^(7b)R^(7c); where each R^(7a), R^(7b) and R^(7c) is independently hydrogen or C₁-C₃ alkyl. In some embodiments, R⁷ is —CH₃, —CHF₂, —CH₂F, —CF₃, or —CH₂OH. In some embodiments, q is 1 to 6, and each R⁸ is independently C₁-C₆ alkyl optionally substituted by R¹⁰, C₃-C₆ cycloalkyl optionally substituted by R¹⁰, halogen, oxo or —OR^(8a). In some embodiments, R⁸ is —OR^(8a) where R^(8a) is hydrogen or C₁-C₆ alkyd. In some embodiments, R^(8a) is hydrogen.

In some embodiments, each optional substituent R⁹ is independently C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, halogen, —CN, —OR¹¹, —SR¹¹, —NR¹²R¹³, —NO₂, —C═NH(OR¹¹), —C(O)R¹¹, —OC(O)R¹¹, —C(O)OR¹¹, —C(O)NR¹²R¹³, —NR¹¹C(O)R¹², —NR¹¹C(O)OR¹², —NR¹¹C(O)NR¹²R¹³, —S(O)R¹¹, —S(O)₂R¹¹, —NR¹¹S(O)R¹², —NR¹²S(O)₂R¹², —S(O)NR¹²R¹³, —S(O)₂NR¹²R¹³, —P(O)(OR¹²)(OR¹³), C₃-C₈ cycloalkyl, 3- to 12-membered heterocyclyl, 5- to 10-membered heteroaryl or C₆-C₁₄ aryl, wherein each R⁹ is independently optionally substituted by halogen, oxo, —OR¹⁴, —NR¹⁴R¹⁵, —C(O)R¹⁴, —CN, —S(O)R¹⁴, —S(O)₂R¹⁴, —P(O)(OR¹⁴)(OR¹⁵), C₃-C₈ cycloalkyl, 3- to 12-membered heterocyclyl, 5- to 10-membered heteroaryl, C₆-C₁₄ aryl, or C₁-C₆ alkyl optionally substituted by oxo, —OH or halogen.

In some embodiments, R⁹ is independently C₁-C₆ alkyl, halogen, —CN, —OR¹¹, —NR¹²R¹³, —C(O)R¹¹, C₃-C₈ cycloalkyl, 3- to 12-membered heterocyclyl, 5- to 10-membered heteroaryl or C₆-C₁₄ aryl, wherein each R⁹ is independently optionally substituted by halogen, oxo, —OR¹⁴, —NR¹⁴R¹⁵, —C(O)R¹⁴, —CN, C₃-C₈ cycloalkyl, 3- to 12-membered heterocyclyl, 5- to 10-membered heteroaryl, C₆-C₁₄ aryl, or C₁-C₆ alkyl optionally substituted by oxo, —OH or halogen. In some embodiments, R⁹ is independently selected from F, Cl, —CN, methyl, —CHF₂, —CF₃, cyclopropylmethyl, tert-butyl, cyclopropyl and phenyl. In some embodiments, R⁹ is independently F, Cl or —CN. In some embodiments, R⁹ is independently methyl, —CHF₂, —CF₃, cyclopropylmethyl, tert-butyl or cyclopropyl. In some embodiments, R⁹ is independently phenyl optionally substituted by halogen or C₁-C₆ alkyl. In some embodiments, R⁹ is 5- to 10-membered heteroaryl optionally substituted by C₁-C₆ alkyl. In some embodiments, R⁹ is 3,5-dimethylpyrazol-1-yl. In some embodiments, R⁹ is independently 3- to 12-membered heterocyclyl optionally substituted by oxo or C₁-C₆ alkyl. In some embodiments, R⁹ is morpholin-4-yl.

In some embodiments, R¹⁰ is independently oxo or any variation detailed herein for R⁹. In some embodiments, R¹⁰ is independently oxo, C₁-C₆ alkyl, halogen, —CN, —OR¹¹, —NR¹²R¹³, —C(O)R¹¹, C₃-C₈ cycloalkyl, 3- to 12-membered heterocyclyl, 5- to 10-membered heteroaryl or C₆-C₁₄ aryl, wherein each R⁹ is independently optionally substituted by halogen, oxo, —OR¹⁴, —NR¹⁴R¹⁵, —C(O)R¹⁴, —CN, C₃-C₈ cycloalkyl, 3- to 12-membered heterocyclyl, 5- to 10-membered heteroaryl, C₆-C₁₄ aryl, or C₁-C₆ alkyl optionally substituted by oxo, —OH or halogen. In some embodiments, R¹⁰ is independently selected from oxo, F, Cl, —CN, methyl. —CHF₂, —CF₃, cyclopropylmethyl, tert-butyl, cyclopropyl and phenyl. In some embodiments, R¹⁰ is independently phenyl optionally substituted by halogen or C₁-C₆ alkyl. In some embodiments, R¹⁰ is 5- to 10-membered heteroaryl optionally substituted by C₁-C₆ alkyl. In some embodiments, R¹⁰ is 3,5-dimethylpyrazol-1-yl. In some embodiments, R¹⁰ is independently 3- to 12-membered heterocyclyl optionally substituted by oxo or C₁-C₆ alkyl. In some embodiments, R¹⁰ is morpholin-4-yl.

In some embodiments, R¹¹, R¹² and R¹³ are each independently hydrogen or C₁-C₆ alkyl. In some embodiments, R¹¹ is hydrogen. In some embodiments, R¹² and R¹³ are each hydrogen.

In some embodiments, R¹⁴ and R¹⁵ are each independently hydrogen or C₁-C₆ alkyl.

In one variation is provided a compound of the formula (I), or a salt thereof, wherein the carbon bearing the CO₂H and NHC(O)R¹ moieties is in the “S” configuration. In another variation is provided a compound of the formula (I), or a salt thereof, wherein the carbon bearing the CO₂H and NHC(O)R¹ moieties is in the “R” configuration. In one variation is provided a compound of the formula (I), or a salt thereof, wherein the carbon bearing the X moiety is in the “S” configuration. In another variation is provided a compound of the formula (I), or a salt thereof, wherein the carbon bearing the X moiety is in the “R” configuration. In one aspect of formula (I), the carbon bearing the CO₂H and NHC(O)R¹ moieties is in the “S” configuration and the carbon bearing the X moiety is in the “S” configuration. In one aspect of formula (I), the carbon bearing the CO₂H and NHC(O)R¹ moieties is in the “S” configuration and the carbon bearing the X moiety is in the “R” configuration. In one aspect of formula (I), the carbon bearing the CO₂H and NHC(O)R¹ moieties is in the “R” configuration and the carbon bearing the X moiety is in the “S” configuration. In one aspect of formula (I), the carbon bearing the CO₂H and NHC(O)R¹ moieties is in the “R” configuration and the carbon bearing the X moiety is in the “R” configuration. It is understood that the stereochemistry described is equally applicable to and described for other compounds detailed herein, such as compounds of the formula (I-A) and compounds in the associated compound tables, such as Table 1 and Table 1-A.

Representative compounds are listed in Table 1.

TABLE 1 Compound No. Structure Chemical Name ¹  1

2-pivalamido-4-(3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 1a (S)-2-pivalamido-4-((R)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 1b (S)-2-pivalamido-4-((S)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 1c (R)-2-pivalamido-4-((R)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 1d (R)-2-pivalamido-4-((S)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid  2

2-((tert-butoxycarbonyl)amino)-4-(3- (2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)butanoic acid 2a (S)-2-((tert-butoxycarbonyl)amino)-4- ((R)-3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)butanoic acid 2b (S)-2-((tert-butoxycarbonyl)amino)-4- ((S)-3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)butanoic acid 2c (R)-2-((tert-butoxycarbonyl)amino)-4- ((R)-3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)butanoic acid 2d (R)-2-((tert-butoxycarbonyl)amino)-4- ((S)-3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)butanoic acid  3

2-benzamido-4-(3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 3a (S)-2-benzamido-4-((R)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 3b (S)-2-benzamido-4-((S)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 3c (R)-2-benzamido-4-((R)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 3d (R)-2-benzamido-4-((S)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid  4

2-(2,6-dimethylbenzamido)-4-(3-(2- (5,6,7,8-tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 4a (S)-2-(2,6-dimethylbenzamido)-4-((R)- 3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)butanoic acid 4b (S)-2-(2,6-dimethylbenzamido)-4-((S)- 3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)butanoic acid 4c (R)-2-(2,6-dimethylbenzamido)-4-((R)- 3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)butanoic acid 4d (R)-2-(2,6-dimethylbenzamido)-4-((S)- 3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)butanoic acid  5

2-(2-chloro-3-fluorobenzamido)-4-(3- (2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)butanoic acid 5a (S)-2-(2-chloro-3-fluorobenzamido)-4- ((R)-3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)butanoic acid 5b (S)-2-(2-chloro-3-fluorobenzamido)-4- ((S)-3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)butanoic acid 5c (R)-2-(2-chloro-3-fluorobenzamido)-4- ((R)-3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)butanoic acid 5d (R)-2-(2-chloro-3-fluorobenzamido)-4- ((S)-3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)butanoic acid  6

6a (S)-2-(2,6-dichlorobenzamido)-4-((R)- 3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)butanoic acid 6b (S)-2-(2,6-dichlorobenzamido)-4-((S)- 3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)butanoic acid 6c (R)-2-(2,6-dichlorobenzamido)-4-((R)- 3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)butanoic acid 6d (R)-2-(2,6-dichlorobenzamido)-4-((S)- 3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)butanoic acid  7

2-(2,6-dichloro-4-cyanobenzamido)-4- (3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)butanoic acid 7a (S)-2-(2,6-dichloro-4- cyanobenzamido)-4-((R)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 7b (S)-2-(2,6-dichloro-4- cyanobenzamido)-4-((S)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 7c (R)-2-(2,6-dichloro-4- cyanobenzamido)-4-((R)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 7d (R)-2-(2,6-dichloro-4- cyanobenzamido)-4-((S)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid  8

4-(3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)-2-(2- (trifluoromethyl)benzamido)butanoic acid 8a (S)-4-((R)-3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)-2-(2- (trifluoromethyl)benzamido)butanoic acid 8b (S)-4-((S)-3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)-2-(2- (trifluoromethyl)benzamido)butanoic acid 8c (R)-4-((R)-3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)-2-(2- (trifluoromethyl)benzamido)butanoic acid 8d (R)-4-((S)-3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)-2-(2- (trifluoromethyl)benzamido)butanoic acid  9

4-(3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)-2-(3- (trifluoromethyl)benzamido)butanoic acid 9a (S)-4-((R)-3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)-2-(3- (trifluoromethyl)benzamido)butanoic acid 9b (S)-4-((S)-3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)-2-(3- (trifluoromethyl)benzamido)butanoic acid 9c (R)-4-((R)-3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)-2-(3- (trifluoromethyl)benzamido)butanoic acid 9d (R)-4-((S)-3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)-2-(3- (trifluoromethyl)benzamido)butanoic acid 10

4-(3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)-2-(4- (trifluoromethyl)benzamido)butanoic acid 10a (S)-4-((R)-3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)-2-(4- (trifluoromethyl)benzamido)butanoic acid 10b (S)-4-((S)-3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)-2-(4- (trifluoromethyl)benzamido)butanoic acid 10c (R)-4-((R)-3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)-2-(4- (trifluoromethyl)benzamido)butanoic acid 10d (R)-4-((S)-3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)-2-(4- (trifluoromethyl)benzamido)butanoic acid 11

2-(2,6-dichlorobenzamido)-4-(3-(2- (5,6,7,8-tetrahydro-1,8-naphthyridin- 2-yl)ethyl)pyrrolidin-1-yl)butanoic acid 11a (S)-2-(2,6-dichlorobenzamido)-4-((R)- 3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)butanoic acid 11b (S)-2-(2,6-dichlorobenzamido)-4-((S)- 3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)butanoic acid 11c (R)-2-(2,6-dichlorobenzamido)-4-((R)- 3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- 11dyl)butanoic acid 11d (R)-2-(2,6-dichlorobenzamido)-4-((S)- 3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)butanoic acid 12

2-(3-(3,5-dimethyl-1H-pyrazol-1- yl)benzamido)-4-(4-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)piperidin-1-yl)butanoic acid 12a (S)-2-(3-(3,5-dimethyl-1H-pyrazol-1- yl)benzamido)-4-(4-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)piperidin-1-yl)butanoic acid 12b (R)-2-(3-(3,5-dimethyl-1H-pyrazol-1- yl)benzamido)-4-(4-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)piperidin-1-yl)butanoic acid 13

2-(3-(3,5-dimethyl-1H-pyrazol-1- yl)benzamido)-4-(3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 13a (S)-2-(3-(3,5-dimethyl-1H-pyrazol-1- yl)benzamido)-4-((R)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 13b (S)-2-(3-(3,5-dimethyl-1H-pyrazol-1- yl)benzamido)-4-((S)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 13c (R)-2-(3-(3,5-dimethyl-1H-pyrazol-1- yl)benzamido)-4-((R)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 13d (R)-2-(3-(3,5-dimethyl-1H-pyrazol-1- yl)benzamido)-4-((S)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 14

2-(2-morpholinobenzamido)-4-(3-(2- (5,6,7,8-tetrahydro-1,8-naphthyridin- 2-yl)ethyl)pyrrolidin-1-yl)butanoic acid 14a (S)-2-(2-morpholinobenzamido)-4- ((R)-3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)butanoic acid 14b (S)-2-(2-morpholinobenzamido)-4- ((S)-3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)butanoic acid 14c (S)-2-(2-morpholinobenzamido)-4- ((R)-3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)butanoic acid 14d (R)-2-(2-morpholinobenzamido)-4- ((S)-3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)butanoic acid 15

2-(3-morpholinobenzamido)-4-(3-(2- (5,6,7,8-tetrahydro-1,8-naphthyridin- 2-yl)ethyl)pyrrolidin-1-yl)butanoic acid 15a (S)-2-(3-morpholinobenzamido)-4- ((R)-3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)butanoic acid 15b (S)-2-(3-morpholinobenzamido)-4- ((S)-3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)butanoic acid 15c (R)-2-(3-morpholinobenzamido)-4- ((R)-3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)butanoic acid 15d (R)-2-(3-morpholinobenzamido)-4- ((S)-3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)butanoic acid 16

2-(4-morpholinobenzamido)-4-(3-(2- (5,6,7,8-tetrahydro-1,8-naphthyridin- 2-yl)ethyl)pyrrolidin-1-yl)butanoic acid 16a (S)-2-(4-morpholinobenzamido)-4- ((R)-3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)butanoic acid 16b (S)-2-(4-morpholinobenzamido)-4- ((S)-3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)butanoic acid 16c (R)-2-(4-morpholinobenzamido)-4- ((R)-3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)butanoic acid 16d (R)-2-(4-morpholinobenzamido)-4- ((S)-3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)butanoic acid 17

2-(picolinamido)-4-(3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 17a (S)-2-(picolinamido)-4-((R)-3-(2- (5,6,7,8-tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 17b (S)-2-(picolinamido)-4-((S)-3-(2- (5,6,7,8-tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 17c (R)-2-(picolinamido)-4-((R)-3-(2- (5,6,7,8-tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 17d (R)-2-(picolinamido)-4-((S)-3-(2- (5,6,7,8-tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 18

2-(isonicotinamido)-4-(3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 18a (S)-2-(isonicotinamido)-4-((R)-3-(2- (5,6,7,8-tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 18b (S)-2-(isonicotinamido)-4-((S)-3-(2- (5,6,7,8-tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 18c (R)-2-(isonicotinamido)-4-((R)-3-(2- (5,6,7,8-tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 18d (R)-2-(isonicotinamido)-4-((S)-3-(2- (5,6,7,8-tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 19

2-(nicotinamido)-4-(3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 19a (S)-2-(nicotinamido)-4-((R)-3-(2- (5,6,7,8-tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 19b (S)-2-(nicotinamido)-4-((S)-3-(2- (5,6,7,8-tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 19c (R)-2-(nicotinamido)-4-((R)-3-(2- (5,6,7,8-tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 19d (R)-2-(nicotinamido)-4-((S)-3-(2- (5,6,7,8-tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 20

2-(3,5-dichloroisonicotinamido)-4-(3- (2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)butanoic acid 20a (S)-2-(3,5-dichloroisonicotinamido)-4- ((R)-3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)butanoic acid 20b (S)-2-(3,5-dichloroisonicotinamido)-4- ((S)-3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)butanoic acid 20c (R)-2-(3,5-dichloroisonicotinamido)-4- ((R)-3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)butanoic acid 20d (R)-2-(3,5-dichloroisonicotinamido)-4- ((S)-3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)butanoic acid 21

2-(4,4-difluorocyclohexane-1- carboxamido)-4-(3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 21a (S)-2-(4,4-difluorocyclohexane-1- carboxamido)-4-((R)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 21b (S)-2-(4,4-difluorocyclohexane-1- carboxamido)-4-((S)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 21c (R)-2-(4,4-difluorocyclohexane-1- carboxamido)-4-((R)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 21d (R)-2-(4,4-difluorocyclohexane-1- carboxamido)-4-((S)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 22

2-(4-methyltetrahydro-2H-pyran-4- carboxamido)-4-(3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 22a (S)-2-(4-methyltetrahydro-2H-pyran-4- carboxamido)-4-((R)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 22b (S)-2-(4-methyltetrahydro-2H-pyran-4- carboxamido)-4-((S)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 22c (R)-2-(4-methyltetrahydro-2H-pyran-4- carboxamido)-4-((R)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 22d (R)-2-(4-methyltetrahydro-2H-pyran-4- carboxamido)-4-((S)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 23

2-(1-cyclopropylpiperidine-4- carboxamido)-4-(3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 23a (S)-2-(1-cyclopropylpiperidine-4- carboxamido)-4-((R)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 23b (S)-2-(1-cyclopropylpiperidine-4- carboxamido)-4-((S)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 23c (R)-2-(1-cyclopropylpiperidine-4- carboxamido)-4-((R)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 23d (R)-2-(1-cyclopropylpiperidine-4- carboxamido)-4-((S)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 24

2-(1-methyl-1H-indazole-6- carboxamido)-4-(3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 24a (S)-2-(1-methyl-1H-indazole-6- carboxamido)-4-((R)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 24b (S)-2-(1-methyl-1H-indazole-6- carboxamido)-4-((s)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 24c (r)-2-(1-methyl-1H-indazole-6- carboxamido)-4-((R)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 24d (r)-2-(1-methyl-1H-indazole-6- carboxamido)-4-((s)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 25

2-(1-methyl-1H-indazole-5- carboxamido)-4-(3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 25a (S)-2-(1-methyl-1H-indazole-5- carboxamido)-4-((R)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 25b (S)-2-(1-methyl-1H-indazole-5- carboxamido)-4-((S)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 25c (R)-2-(1-methyl-1H-indazole-5- carboxamido)-4-((R)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 25d (R)-2-(1-methyl-1H-indazole-5- carboxamido)-4-((S)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 26

2-(1H-indazole-7-carboxamido)-4-(3- (2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)butanoic acid 26a (S)-2-(1H-indazole-7-carboxamido)-4- ((R)-3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)butanoic acid 26b (S)-2-(1H-indazole-7-carboxamido)-4- ((S)-3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)butanoic acid 26c (R)-2-(1H-indazole-7-carboxamido)-4- ((R)-3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)butanoic acid 26a (R)-2-(1H-indazole-7-carboxamido)-4- ((S)-3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)butanoic acid 27

2-(1-methyl-1H-indazole-4- carboxamido)-4-(3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 27a (S)-2-(1-methyl-1H-indazole-4- carboxamido)-4-((R)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 27b (S)-2-(1-methyl-1H-indazole-4- carboxamido)-4-((S)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 27c (R)-2-(1-methyl-1H-indazole-4- carboxamido)-4-((R)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 27d (R)-2-(1-methyl-1H-indazole-4- carboxamido)-4-((S)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 28

2-(1-methyl-1H-indazole-7- carboxamido)-4-(3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 28a (S)-2-(1-methyl-1H-indazole-7- carboxamido)-4-((R)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 28b (S)-2-(1-methyl-1H-indazole-7- carboxamido)-4-((S)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 28c (R)-2-(1-methyl-1H-indazole-7- carboxamido)-4-((R)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 28d (R)-2-(1-methyl-1H-indazole-7- carboxamido)-4-((S)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 29

2-(1-(difluoromethyl)-1H-indazole- 6-carboxamido)-4-(3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 29a (S)-2-(1-(difluoromethyl)-1H-indazole- 6-carboxamido)-4-((R)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 29b (S)-2-(1-(difluoromethyl)-1H-indazole- 6-carboxamido)-4-((S)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 29c (R)-2-(1-(difluoromethyl)-1H-indazole- 6-carboxamido)-4-((R)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 29d (R)-2-(1-(difluoromethyl)-1H-indazole- 6-carboxamido)-4-((S)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 30

2-(1-(difluoromethyl)-1H-indazole-5- carboxamido)-4-(3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 30a (S)-2-(1-(difluoromethyl)-1H-indazole- 5-carboxamido)-4-((R)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 30b (S)-2-(1-(difluoromethyl)-1H-indazole- 5-carboxamido)-4-((S)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 30c (R)-2-(1-(difluoromethyl)-1H-indazole- 5-carboxamido)-4-((R)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 30d (R)-2-(1-(difluoromethyl)-1H-indazole- 5-carboxamido)-4-((S)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 31

2-(benzo[d]oxazole-5-carboxamido)- 4-(3-(2-(5,6,7,8-tetrahydro-1,8- naphthyridin-2-yl)ethyl)pyrrolidin-1- yl)butanoic acid 31a (S)-2-(benzo[d]oxazole-5- carboxamido)-4-((R)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 31b (S)-2-(benzo[d]oxazole-5- carboxamido)-4-((S)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 31c (R)-2-(benzo[d]oxazole-5- carboxamido)-4-((R)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid 31d (R)-2-(benzo[d]oxazole-5- carboxamido)-4-((S)-3-(2-(5,6,7,8- tetrahydro-1,8-naphthyridin-2- yl)ethyl)pyrrolidin-1-yl)butanoic acid ¹ Chemical names are generated using the ChemBioDraw ® Ultra version 14.0.0.117 software.

Additional representative compounds are listed in Table 1-A.

Compound No. Structure  32

 33

 34

 35

 36

 37

 38

 39

 40

 41

 42

 43

 44

 45

 46

 47

 48

 49

 50

 51

 52

 53

 54

 55

 56

 57

 58

 59

 60

 61

 62

 63

 64

 65

 66

 67

 68

 69

 70

 71

 72

 73

 74

 75

 76

 77

 78

 79

 80

 81

 82

 83

 84

 85

 86

 87

 88

 89

 90

 91

 92

 93

 94

 95

 96

 97

 98

 99

100

101

102

103

104

105

106

107

108

109

110

111

112

113

114

115

116

117

118

119

120

121

122

123

124

125

126

127

128

129

130

131

132

133

134

135

136

137

138

139

140

141

142

143

144

145

146

147

In some embodiments, provided is a compound selected from Compound Nos. 1-31 in Table 1, or a stereoisomer thereof (including a mixture of two or more stereoisomers thereof), or a salt thereof. In some embodiments, provided is a compound selected from Compound Nos. 1-147, or a stereoisomer thereof (including a mixture of two or more stereoisomers thereof), or a salt thereof, in some embodiments, the compound is selected from the group consisting of Compound Nos 1a, 1b, 1c, 1d, 2a, 2b, 2c, 2d, 3a, 3b, 3c, 3d, 4a, 4b, 4c, 4d, 5a, 5b, 5c, 5d, 6a, 6b, 6c, 6d, 7a, 7b, 7c, 7d, 8a, 8b, 8c, 8d, 9a, 9b, 9c, 9d, 10a, 10b, 10c, 10d, 11a, 11b, 11c, 11d, 12a, 12b, 13a, 13b, 13c, 13d, 14a, 14b, 14c, 14d, 15a, 15b, 15c, 15d, 16a, 16b, 16c, 16d, 17a, 17b, 17c, 17d, 18a, 18b, 18c, 18d, 19a, 19b, 19c, 19d, 20a, 20b, 20c, 20d, 21a, 21b, 21c, 21d, 22a, 22b, 22c, 22d, 23a, 23b, 23c, 23d, 24a, 24b, 24c, 24d, 25a, 25b, 25c, 25d, 26a, 26b, 26c, 26d, 27a, 27b, 27c, 27d, 28a, 28b, 28c, 28d, 29a, 29b, 29c, 29d, 30a, 30b, 30c, 30d, 31a, 31b, 31c and 31d, or a salt thereof.

In some embodiments, the compound is selected from the group consisting of one or more of Compound Nos 1-31 in Table 1, or a stereoisomer thereof (including a mixture of two or more stereoisomers thereof), or a salt thereof. In some embodiments, the compound is selected from the group consisting of one or more of Compound Nos 1a, 1b, 1c, 1d, 2a, 2b, 2c, 2d, 3a, 3b, 3c, 3d, 4a, 4b, 4c, 4d, 5a, 5b, 5c, 5d, 6a, 6b, 6c, 6d, 7a, 7b, 7c, 7d, 8a, 8b, 8c, 8d, 9a, 9b, 9c, 9d, 10a, 10b, 10c, 10d, 11a, 11b, 11c, 11d, 12a, 12b, 13a, 13b, 13c, 13d, 14a, 14b, 14c, 14d, 15a, 15b, 15c, 15d, 16a, 16b, 16c, 16d, 17a, 17b, 17c, 17d, 18a, 18b, 18c, 18d, 19a, 19b, 19c, 19d, 20a, 20b, 20c, 20d, 21a, 21b, 21c, 21d, 22a, 22b, 22c, 22d, 23a, 23b, 23c, 23d, 24a, 24b, 24c, 24d, 25a, 25b, 25c, 25d, 26a, 26b, 26c, 26d, 27a, 27b, 27c, 27d, 28a, 28b, 28c, 28d, 29a, 29b, 29c, 29d, 30a, 30b, 30c, 30d, 31a, 31b, 31c and 31d, or a salt thereof.

In some embodiments, provided is a compound selected from Compound Nos. 32-147 in Table 1-A, or a stereoisomer thereof (including a mixture of two or more stereoisomers thereof), or a salt thereof.

The invention also includes all salts of compounds referred to herein, such as pharmaceutically acceptable salts. The invention also includes any or all of the stereochemical forms, including any enantiomeric or diastereomeric forms, and any tautomers or other forms of the compounds described. Unless stereochemistry is explicitly indicated in a chemical structure or name, the structure or name is intended to embrace all possible stereoisomers of a compound depicted. In addition, where a specific stereochemical form is depicted, it is understood that other stereochemical forms are also embraced by the invention. All forms of the compounds are also embraced by the invention, such as crystalline or non-crystalline forms of the compounds. It is also understood that prodrugs, solvates and metabolites of the compounds are embraced by this disclosure. Compositions comprising a compound of the invention are also intended, such as a composition of substantially pure compound, including a specific stereochemical form thereof. Compositions comprising a mixture of compounds of the invention in any ratio are also embraced by the invention, including mixtures of two or more stereochemical forms of a compound of the invention in any ratio, such that racemic, non-racemic, enantioenriched and scalemic mixtures of a compound are embraced.

Compounds described herein are αvβ6 integrin inhibitors. In some instances, it is desirable for the compound to inhibit other integrins in addition to αvβ6 integrin. In some embodiments, the compound inhibits αvβ6 integrin and one or more of αvβ1, αvβ3, αvβ5, α2β1, α3β1, α6β1 integrin, α7β1 and α11β1. In some embodiments, the compound inhibits αvβ6 integrin and αvβ1 integrin. In some embodiments, the compound inhibits αvβ6 integrin, αvβ3 integrin and αvβ5 integrin. In some embodiments, the compound inhibits αvβ6 integrin and α2β1 integrin. In some embodiments, the compound inhibits αvβ6 integrin, α2β1 integrin and α3β1 integrin. In some embodiments, the compound inhibits αvβ6 integrin and α6β1 integrin. In some embodiments, the compound inhibits αvβ6 integrin and α7β1 integrin. In some embodiments, the compound inhibits αvβ6 integrin and α11β1 integrin.

In some instances, it is desirable to avoid inhibition of other integrins. In some embodiments, the compound is a selective αvβ6 integrin inhibitor. In some embodiments, the compound does not inhibit substantially α4β1, αvβ8 and/or α2β3 integrin. In some embodiments, the compound inhibits αvβ6 integrin but does not inhibit substantially α4β1 integrin. In some embodiments, the compound inhibits αvβ6 integrin but does not inhibit substantially αvβ8 integrin. In some embodiments, the compound inhibits αvβ6 integrin but does not inhibit substantially α2β3 integrin. In some embodiments, the compound inhibits αvβ6 integrin but does not inhibit substantially the αvβ8 integrin and the α4β1 integrin.

The invention also intends isotopically-labeled and/or isotopically-enriched forms of compounds described herein. The compounds herein may contain unnatural proportions of atomic isotopes at one or more of the atoms that constitute such compounds. In some embodiments, the compound is isotopically-labeled, such as an isotopically-labeled compound of the formula (I) or variations thereof described herein, where one or more atoms are replaced by an isotope of the same element. Exemplary isotopes that can be incorporated into compounds of the invention include isotopes of hydrogen, carbon, nitrogen, oxygen, phosphorus, sulfur, chlorine, such as ²H, ³H, ¹¹C, ¹³C, ¹⁴C, ¹³N, ¹⁵O, ¹⁷O, ³²P, ³⁵S, ¹⁸F, ³⁶Cl. Incorporation of heavier isotopes such as deuterium (²H) can afford certain therapeutic advantages resulting from greater metabolic stability, for example, increased in vivo half-life, or reduced dosage requirements and, hence may be preferred in some instances.

Isotopically-labeled compounds of the present invention can generally be prepared by standard methods and techniques known to those skilled in the art or by procedures similar to those described in the accompanying Examples substituting appropriate isotopically-labeled reagents in place of the corresponding non-labeled reagent.

The invention also includes any or all metabolites of any of the compounds described. The metabolites may include any chemical species generated by a biotransformation of any of the compounds described, such as intermediates and products of metabolism of the compound.

Articles of manufacture comprising a compound of the invention, or a salt or solvate thereof, in a suitable container are provided. The container may be a vial, jar, ampoule, preloaded syringe, i.v. bag, and the like.

Preferably, the compounds detailed herein are orally bioavailable. However, the compounds may also be formulated for parenteral (e.g., intravenous) administration.

One or several compounds described herein can be used in the preparation of a medicament by combining the compound or compounds as an active ingredient with a pharmacologically acceptable carrier, which are known in the art. Depending on the therapeutic form of the medication, the carrier may be in various forms.

General Synthetic Methods

The compounds of the invention may be prepared by a number of processes as generally described below and more specifically in the Examples hereinafter. In the following process descriptions, the symbols when used in the formulae depicted are to be understood to represent those groups described above in relation to the formulae herein.

Where it is desired to obtain a particular enantiomer of a compound, this may be accomplished from a corresponding mixture of enantiomers using any suitable conventional procedure for separating or resolving enantiomers. Thus, for example, diastereomeric derivatives may be produced by reaction of a mixture of enantiomers, e.g., a racemate, and an appropriate chiral compound. The diastereomers may then be separated by any convenient means, for example by crystallization, and the desired enantiomer recovered. In another resolution process, a racemate may be separated using chiral High Performance Liquid Chromatography. Alternatively, if desired a particular enantiomer may be obtained by using an appropriate chiral intermediate in one of the processes described.

Chromatography, recrystallization and other conventional separation procedures may also be used with intermediates or final products where it is desired to obtain a particular isomer of a compound or to otherwise purify a product of a reaction.

Solvates and/or polymorphs of a compound provided herein or a pharmaceutically acceptable salt thereof are also contemplated. Solvates contain either stoichiometric or non-stoichiometric amounts of a solvent, and are often formed during the process of crystallization. Hydrates are formed when the solvent is water, or alcoholates are formed when the solvent is alcohol. Polymorphs include the different crystal packing arrangements of the same elemental composition of a compound. Polymorphs usually have different X-ray diffraction patterns, infrared spectra, melting points, density, hardness, crystal shape, optical and electrical properties, stability, and/or solubility. Various factors such as the recrystallization solvent, rate of crystallization, and storage temperature may cause a single crystal form to dominate.

Compounds of the formula (I) can be prepared according to Scheme 1, wherein R¹, R⁵, R⁷, R⁸, X, m, n, p and q are as defined for formula (I), or any applicable variations detailed herein; P⁰ and P¹ are independently an amine protecting group, (e.g., t-butoxycarbonyl (Boc)); P² is a carboxylic acid protecting group (e.g., ethyl); and Lv is a leaving group (e.g., OH, O-acyl, OAt, OBt, Cl, 1-imidazolyl, and the like).

Reduction (e.g., catalytic hydrogenation) of 1,8-naphthyridine compound (G), for example, using H₂ over palladium hydroxide in methanol, gives tetrahydro-1,8-naphthyridine compound (F), which is deprotected to give compound (E). Reductive alkylation of compound (E) with aldehyde (D) (a protected 2-amino-4-oxobutanoic acid) produces intermediate compound (C), which is deprotected to give amine compound (B). Coupling of amine compound (B) with activated carbonyl compound R¹C(O)-Lv gives intermediate compound (A). Deprotection of the carboxylic acid (e.g., hydrolysis) provides a compound of formula (I).

It is understood that the schemes above may be modified to arrive at various compounds of the invention by selection of appropriate reagents and starting materials. It is also understood that where protection of certain active or incompatible groups (e.g., an amine or a carboxylic acid) is required, the formulae in Scheme 1 intend and include compounds where such active or incompatible groups are in appropriate protected forms. For a general description of protecting groups and their use, see P. G. M. Wuts and T. W. Greene, Greene's Protective Groups in Organic Synthesis 4^(th) edition, Wiley-Interscience, New York, 2006.

An exemplary embodiment of the preparative method in Scheme 1 is shown in Scheme 1a. In some embodiments, R¹ is C₁-C₆ alkyl, C₃-C₈ cycloalkyl, C₆-C₁₄ aryl, 5- to 10-membered heteroaryl, or 3- to 12-membered heterocyclyl, wherein the C₁-C₆ alkyl, C₃-C₈ cycloalkyl, C₆-C₁₄ aryl, 5- to 10-membered heteroaryl, and 3- to 12-membered heterocyclyl of R¹ are independently optionally substituted by R¹⁰.

Provided is a method for preparing a compound of formula (I), or a salt thereof, comprising performing one or more steps of Scheme 1 or Scheme 1a

Pharmaceutical Compositions and Formulations

Pharmaceutical compositions of any of the compounds detailed herein are embraced by this invention. Thus, the invention includes pharmaceutical compositions comprising a compound of the invention or a pharmaceutically acceptable salt thereof and a pharmaceutically acceptable carrier or excipient. In one aspect, the pharmaceutically acceptable salt is an acid addition salt, such as a salt formed with an inorganic or organic acid. Pharmaceutical compositions according to the invention may take a form suitable for oral, buccal, parenteral, nasal, topical or rectal administration or a form suitable for administration by inhalation.

A compound as detailed herein may in one aspect be in a purified form and compositions comprising a compound in purified forms are detailed herein. Compositions comprising a compound as detailed herein or a salt thereof are provided, such as compositions of substantially pure compounds. In some embodiments, a composition containing a compound as detailed herein or a salt thereof is in substantially pure form. In one variation, “substantially pure” intends a composition that contains no more than 35% impurity, wherein the impurity denotes a compound other than the compound comprising the majority of the composition or a salt thereof. For example, a composition of a substantially pure compound selected from a compound of Table 1 intends a composition that contains no more than 35% impurity, wherein the impurity denotes a compound other than the compound or a salt thereof. In one variation, a composition of substantially pure compound or a salt thereof is provided wherein the composition contains no more than 25% impurity. In another variation, a composition of substantially pure compound or a salt thereof is provided wherein the composition contains or no more than 20% impurity. In still another variation, a composition of substantially pure compound or a salt thereof is provided wherein the composition contains or no more than 10% impurity. In a further variation, a composition of substantially pure compound or a salt thereof is provided wherein the composition contains or no more than 5% impurity. In another variation, a composition of substantially pure compound or a salt thereof is provided wherein the composition contains or no more than 3% impurity. In still another variation, a composition of substantially pure compound or a salt thereof is provided wherein the composition contains or no more than 1% impurity. In a further variation, a composition of substantially pure compound or a salt thereof is provided wherein the composition contains or no more than 0.5% impurity. In yet other variations, a composition of substantially pure compound means that the composition contains no more than 15% or preferably no more than 10% or more preferably no more than 5% or even more preferably no more than 3% and most preferably no more than 1% impurity, which impurity may be the compound in a different stereochemical form. For instance, a composition of substantially pure (S) compound means that the composition contains no more than 15% or no more than 10% or no more than 5% or no more than 3% or no more than 1% of the (R) form of the compound.

In one variation, the compounds herein are synthetic compounds prepared for administration to an individual such as a human. In another variation, compositions are provided containing a compound in substantially pure form. In another variation, the invention embraces pharmaceutical compositions comprising a compound detailed herein and a pharmaceutically acceptable carrier or excipient. In another variation, methods of administering a compound are provided. The purified forms, pharmaceutical compositions and methods of administering the compounds are suitable for any compound or form thereof detailed herein.

The compound may be formulated for any available delivery route, including an oral, mucosal (e.g., nasal, sublingual, vaginal, buccal or rectal), parenteral (e.g., intramuscular, subcutaneous or intravenous), topical or transdermal delivery form. A compound may be formulated with suitable carriers to provide delivery forms that include, but are not limited to, tablets, caplets, capsules (such as hard gelatin capsules or soft elastic gelatin capsules), cachets, troches, lozenges, gums, dispersions, suppositories, ointments, cataplasms (poultices), pastes, powders, dressings, creams, solutions, patches, aerosols (e.g., nasal spray or inhalers), gels, suspensions (e.g., aqueous or non-aqueous liquid suspensions, oil-in-water emulsions or water-in-oil liquid emulsions), solutions and elixirs.

One or several compounds described herein can be used in the preparation of a formulation, such as a pharmaceutical formulation, by combining the compound or compounds as an active ingredient with a pharmaceutically acceptable carrier, such as those mentioned above. Depending on the therapeutic form of the system (e.g., transdermal patch vs. oral tablet), the carrier may be in various forms. In addition, pharmaceutical formulations may contain preservatives, solubilizers, stabilizers, re-wetting agents, emulgators, sweeteners, dyes, adjusters, and salts for the adjustment of osmotic pressure, buffers, coating agents or antioxidants. Formulations comprising the compound may also contain other substances which have valuable therapeutic properties. Pharmaceutical formulations may be prepared by known pharmaceutical methods. Suitable formulations can be found, e.g., in Remington: The Science and Practice of Pharmacy, Lippincott Williams & Wilkins, 21^(st) ed. (2005), which is incorporated herein by reference.

Compounds as described herein may be administered to individuals (e.g., a human) in a form of generally accepted oral compositions, such as tablets, coated tablets, and gel capsules in a hard or in soft shell, emulsions or suspensions. Examples of carriers, which may be used for the preparation of such compositions, are lactose, corn starch or its derivatives, talc, stearate or its salts, etc. Acceptable carriers for gel capsules with soft shell are, for instance, plant oils, wax, fats, semisolid and liquid poly-ols, and so on. In addition, pharmaceutical formulations may contain preservatives, solubilizers, stabilizers, re-wetting agents, emulgators, sweeteners, dyes, adjusters, and salts for the adjustment of osmotic pressure, buffers, coating agents or antioxidants.

Any of the compounds described herein can be formulated in a tablet in any dosage form described, for example, a compound as described herein or a pharmaceutically acceptable salt thereof can be formulated as a 10 mg tablet.

Compositions comprising a compound provided herein are also described. In one variation, the composition comprises a compound and a pharmaceutically acceptable carrier or excipient. In another variation, a composition of substantially pure compound is provided.

Methods of Use

Compounds and compositions of the invention, such as a pharmaceutical composition containing a compound of any formula provided herein or a salt thereof and a pharmaceutically acceptable carrier or excipient, may be used in methods of administration and treatment as provided herein. The compounds and compositions may also be used in in vitro methods, such as in vitro methods of administering a compound or composition to cells for screening purposes and/or for conducting quality control assays.

In one aspect, provided is a method of treating a fibrotic disease in an individual in need thereof comprising administering to the individual a therapeutically effective amount of a compound of formula (I), or any variation thereof, e.g., a compound of formula (Ia), (Ib), (II), (IIa), (IIb), (III), (IIIa), (IIIb), (IV), (IVa), (IVb), (IVc), (IVd), (V), (Va) or (Vb), a compound selected from Compound Nos. 1-31 in Table 1, or a pharmaceutically acceptable salt thereof. In one aspect, the individual is a human. The individual, such as human, may be in need of treatment, such as a human who has or is suspected of having a fibrotic disease.

In another aspect, provided is a method of delaying the onset and/or development of a fibrotic disease in an individual (such as a human) who is at risk for developing a fibrotic disease. It is appreciated that delayed development may encompass prevention in the event the individual does not develop the fibrotic disease. An individual at risk of developing a fibrotic disease in one aspect has or is suspected of having one or more risk factors for developing a fibrotic disease. Risk factors for fibrotic disease may include an individual's age (e.g., middle-age or older adults), the presence of inflammation, having one or more genetic component associated with development of a fibrotic disease, medical history such as treatment with a drug or procedure believed to be associated with an enhanced susceptibility to fibrosis (e.g., radiology) or a medical condition believed to be associated with fibrosis, a history of smoking, the presence of occupational and/or environmental factors such as exposure to pollutants associated with development of a fibrotic disease.

In some embodiments, the fibrotic disease is fibrosis of a tissue such as the lung (pulmonary fibrosis), the liver, the skin, the heart (cardiac fibrosis), the kidney (renal fibrosis), or the gastrointestinal tract (gastrointestinal fibrosis).

In some embodiments, the fibrotic disease is a pulmonary fibrosis, e.g., idiopathic pulmonary fibrosis (IPF).

In some embodiments, the fibrotic disease is a primary sclerosing cholangitis, or biliary fibrosis.

In some embodiments, the fibrotic disease is fibrotic nonspecific interstitial pneumonia (NSIP).

In some embodiments, the fibrotic disease is a liver fibrosis, e.g., infectious liver fibrosis (from pathogens such as HCV, HBV or parasites such as schistosomiasis), NASH, alcoholic steatosis induced liver fibrosis, and cirrhosis.

In some embodiments, the fibrotic disease is biliary tract fibrosis.

In some embodiments, the fibrotic disease is kidney fibrosis, e.g., diabetic nephrosclerosis, hypertensive nephrosclerosis, focal segmental glomerulosclerosis (“FSGS”), and acute kidney injury from contrast induced nephropathy.

In some embodiments, the fibrotic disease is systemic and local sclerosis or scleroderma, keloids and hypertrophic scars, or post surgical adhesions.

In some embodiments, the fibrotic disease is atherosclerosis or restenosis.

In some embodiments, the fibrotic disease is a gastrointestinal fibrosis, e.g., Crohn's disease.

In some embodiments, the fibrotic disease is cardiac fibrosis, e.g., post myocardial infarction induced fibrosis and inherited cardiomyopathy.

In one aspect, provided is a compound of formula (I), or any variation thereof, e.g., a compound of formula (Ia), (Ib), (II), (IIa), (IIb), (III), (IIIa), (IIIb), (IV), (IVa), (IVb), (IVc), (IVd), (V), (Va) or (Vb), a compound selected from Compound Nos. 1-31 in Table 1, or a pharmaceutically acceptable salt thereof, for use in the treatment of a fibrotic disease.

Also provided is use of a compound of formula (I), or any variation thereof, e.g., a compound of formula (Ia), (Ib), (II), (IIa), (IIb), (III), (IIIa), (IIIb), (IV), (IVa), (IVb), (IVc), (IVd), (V), (Va) or (Vb), a compound selected from Compound Nos. 1-31 in Table 1, or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for the treatment of a fibrotic disease.

In another aspect, provided is a method of inhibiting αvβ6 integrin in an individual comprising administering a compound of formula (I), or any variation thereof, e.g., a compound of formula (Ia), (Ib), (II), (IIa), (IIb), (III), (IIIa), (IIIb), (IV), (IVa), (IVb), (IVc), (IVd), (V), (Va) or (Vb), a compound selected from Compound Nos. 1-31 in Table 1, or a pharmaceutically acceptable salt thereof.

Also provided is a method of inhibiting TGFβ activation in a cell comprising administering to the cell a compound of formula (I), or any variation thereof, e.g., a compound of formula (Ia), (Ib), (II), (IIa), (IIb), (III), (IIIa), (IIIb), (IV), (IVa), (IVb), (IVc), (IVd), (V), (Va) or (Vb), a compound selected from Compound Nos. 1-31 in Table 1, or a pharmaceutically acceptable salt thereof.

Also provided is a method of inhibiting αvβ6 integrin in an individual in need thereof, comprising administering to the individual a compound of formula (I), or any variation thereof, e.g., a compound of formula (Ia), (Ib), (II), (IIa), (IIb), (III), (IIIa), (IIIb), (IV), (IVa), (IVb), (IVc), (IVd), (V), (Va) or (Vb), a compound selected from Compound Nos 1-31 in Table 1, or a pharmaceutically acceptable salt thereof. In one such method, the compound is a selective αvβ6 integrin inhibitor. In another such method, the compound does not inhibit substantially α4β1, αvβ8 and/or α2β3 integrin. In yet another such method, the compound inhibits αvβ6 integrin but does not inhibit substantially α4β1 integrin. In still another such method, the compound inhibits αvβ6 integrin but does not inhibit substantially αvβ8 integrin. In a further such method, the compound inhibits αvβ6 integrin but does not inhibit substantially α2β3 integrin. In one embodiment is provided a method of inhibiting αvβ6 integrin and one or more of αvβ1, αvβ3, αvβ5, α2β1, α3β1, α6β1 integrin, α7β1 and α11β1 in an individual in need thereof. In another embodiment is provided a method of inhibiting αvβ6 integrin and αvβ1 integrin. In another embodiment is provided a method of inhibiting αvβ6 integrin, αvβ3 integrin and αvβ5 integrin. In another embodiment is provided a method of inhibiting αvβ6 integrin and α2β1 integrin. In another embodiment is provided a method of inhibiting αvβ6 integrin. α2β1 integrin and α3β1 integrin. In another embodiment is provided a method of inhibiting αvβ6 integrin and α6β1 integrin. In another embodiment is provided a method of inhibiting αvβ6 integrin and α7β1 integrin. In another embodiment is provided a method of inhibiting αvβ6 integrin and α11β1 integrin. In all such embodiments, in one aspect the method of inhibition is for an individual in need thereof, such as an individual who has or is suspected of having a fibrotic disease, and wherein the method comprises administering to the individual a compound of formula (I), or any variation thereof e.g., a compound of formula (Ia), (Ib), (II), (IIa), (IIb), (III), (IIIa), (IIIb), (IV), (IVa), (IVb), (IVc), (IVd), (V), (Va) or (Vb), a compound selected from Compound Nos. 1-31 in Table 1, or a pharmaceutically acceptable salt thereof.

In any of the described methods, in one aspect the individual is a human, such as a human in need of the method. The individual may be a human who has been diagnosed with or is suspected of having a fibrotic disease. The individual may be a human who does not have detectable disease but who has one or more risk factors for developing a fibrotic disease.

Kits

The invention further provides kits for carrying out the methods of the invention, which comprises one or more compounds described herein or a pharmacological composition comprising a compound described herein. The kits may employ any of the compounds disclosed herein. In one variation, the kit employs a compound described herein or a pharmaceutically acceptable salt thereof. The kits may be used for any one or more of the uses described herein, and, accordingly, may contain instructions for use in the treatment of a fibrotic disease.

Kits generally comprise suitable packaging. The kits may comprise one or more containers comprising any compound described herein. Each component (if there is more than one component) can be packaged in separate containers or some components can be combined in one container where cross-reactivity and shelf life permit. One or more components of a kit may be sterile and/or may be contained within sterile packaging.

The kits may be in unit dosage forms, bulk packages (e.g., multi-dose packages) or sub-unit doses. For example, kits may be provided that contain sufficient dosages of a compound as disclosed herein (e.g., a therapeutically effective amount) and/or a second pharmaceutically active compound useful for a disease detailed herein (e.g., fibrosis) to provide effective treatment of an individual for an extended period, such as any of a week, 2 weeks, 3 weeks, 4 weeks, 6 weeks, 8 weeks, 3 months, 4 months, 5 months, 7 months, 8 months, 9 months, or more. Kits may also include multiple unit doses of the compounds and instructions for use and be packaged in quantities sufficient for storage and use in pharmacies (e.g., hospital pharmacies and compounding pharmacies).

The kits may optionally include a set of instructions, generally written instructions, although electronic storage media (e.g., magnetic diskette or optical disk) containing instructions are also acceptable, relating to the use of component(s) of the methods of the present invention. The instructions included with the kit generally include information as to the components and their administration to an individual.

SYNTHETIC EXAMPLES

The chemical reactions in the Synthetic Examples described can be readily adapted to prepare a number of other compounds of the invention, and alternative methods for preparing the compounds of this invention are deemed to be within the scope of this invention. For example, the synthesis of non-exemplified compounds according to the invention can be successfully performed by modifications apparent to those skilled in the art, e.g., by appropriately protecting interfering groups, by utilizing other suitable reagents known in the art other than those described, or by making routine modifications of reaction conditions. Alternatively, other reactions disclosed herein or known in the art will be recognized as having applicability for preparing other compounds of the invention.

Example 1 Synthesis of tert-butyl (R)-3-(2-(5,6,7,8-tetrahydro-1,8-naphthyridin-2-yl)ethyl)pyrrolidine-1-carboxylate

A flask equipped with a magnetic stir bar was charged with tert-butyl (R)-3-(2-(1,8-naphthyridin-2-yl)ethyl)pyrrolidine-1-carboxylate (3.10 g, 9.47 mmol, 1.0 equiv) and 20 wt % Pd(OH)₂/C (310 mg) and then diluted in MeOH (31 mL). The flask was then evacuated and then backfilled with H₂ for three cycles and then stirred under an H₂ atmosphere for 18 h, at which time, LC/MS had indicated complete conversion to the desired product. The mixture was filtered through a pad of Celite and concentrated in vacuo to give a crude residue that was purified by normal phase silica gel chromatography (MeOH/EtOAc 0-20% gradient) to give tert-butyl (R)-3-(2-(5,6,7,8-tetrahydro-1,8-naphthyridin-2-yl)ethyl)pyrrolidine-1-carboxylate. MS (ESI+, m/e) 332 (M+1).

Example 2 Synthesis of (R)-7-(2-(pyrrolidin-3-yl)ethyl)-1,2,3,4-tetrahydro-1,8-naphthyridine Dihydrochloride

A flask containing tert-butyl (R)-3-(2-(5,6,7,8-tetrahydro-1,8-naphthyridin-2-yl)ethyl)pyrrolidine-1-carboxylate (909 mg, 2.74 mmol, 1.0 equiv) was equipped with astir bar then diluted in 10:1 DCM/MeOH (9 mL). To this was then slowly added 4M HCl in dioxane (2.8 mL, 11.2 mmol, 4.1 equiv) and the mixture was allowed to stir at room temperature for 4 hr and then concentrated in vacuo to give (R)-7-(2-(pyrrolidin-3-yl)ethyl)-1,2,3,4-tetrahydro-1,8-naphthyridine dihydrochloride that was used without further purification. MS (ESI+, m/e) 232 (M+1).

Example 3 Synthesis of ethyl (S)-2-((tert-butoxycarbonyl)amino)-4-((R)-3-(2-(5,6,7,8-tetrahydro-1,8-naphthyridin-2-yl)ethyl)pyrrolidin-1-yl)butanoate

To a solution of (R)-7-(2-(pyrrolidin-3-yl)ethyl)-1,2,3,4-tetrahydro-1,8-naphthyridine dihydrochloride (446 mg, 1.47 mmol, 1.0 equiv) in MeOH (5 mL) was added AcOH (84 μL, 1.47 mmol, 1.0 equiv) then NaCNBH₃ (184 mg, 2.93 mmol, 2.0 equiv) at room temperature. To this was then added ethyl (S)-2-((tert-butoxycarbonyl)amino)-4-oxobutanoate (607 mg, 2.48 mmol, 1.7 equiv) and the resulting mixture was stirred for 1.5 hr at room temperature and then concentrated in vacuo. The crude residue was purified by normal phase silica gel chromatography (2.0 M NH₃ in MeOH/EtOAc 0-30%) to give ethyl (S)-2-((tert-butoxycarbonyl)amino)-4-((R)-3-(2-(5,6,7,8-tetrahydro-1,8-naphthyridin-2-yl)ethyl)pyrrolidin-1-yl)butanoate. MS (ESI+, m/e) 461 (M+1).

Example 4 Synthesis of ethyl (S)-2-amino-4-((R)-3-(2-(5,6,7,8-tetrahydro-1,8-naphthyridin-2-yl)ethyl)pyrrolidin-1-yl)butanoate Trihydrochloride

A flask containing ethyl (S)-2-((tert-butoxycarbonyl)amino)-4-((R)-3-(2-(5,6,7,8-tetrahydro-1,8-naphthyridin-2-yl)ethyl)pyrrolidin-1-yl)butanoate (605 mg, 1.31 mmol, 1.0 equiv) was equipped with a stir bar then diluted in 10:1 DCM/MeOH (6 mL). To this was then slowly added 4M HCl in dioxane (1.3 mL, 5.2 mmol, 4.0 equiv) and the mixture was allowed to stir at room temperature for 4 hr and then concentrated in vacuo to give ethyl (S)-2-amino-4-((R)-3-(2-(5,6,7,8-tetrahydro-1,8-naphthyridin-2-yl)ethyl)pyrrolidin-1-yl)butanoate trihydrochloride that was used without further purification MS (ESI+, m/e) 361 (M+1).

Example 5 General Procedure for Amide Coupling

A flask containing ethyl (S)-2-amino-4-((R)-3-(2-(5,6,7,8-tetrahydro-1,8-naphthyridin-2-yl)ethyl)pyrrolidin-1-yl)butanoate trihydrochloride (50 mg, 0.1 mmol, 1.0 equiv) was diluted with 10:1 THF/DMF (2 mL) and to this was added DIPEA (93 μL, 0.5 mmol, 5.0 equiv) followed by the appropriate carboxylic acid (15 equiv) and then HATU (57 mg, 0.15 mmol, 1.5 equiv) at room temperature. The resulting mixture was stirred for 1 hr and then concentrated in vacuo to provide a crude residue that was purified by normal phase silica gel chromatography (2.0 M NH₃ in MeOH/EtOAc 0-30%) to give the desired product.

Example 6 General Procedure for Hydrolysis

A flask containing the appropriate ester (50 mg, 1.0 equiv) was diluted with THF/MeOH/H₂O (1.0 mL) and to this was added LiOH (3.0 equiv) at room temperature. The resulting mixture was stirred until LC/MS indicated complete hydrolysis of the ester to the desired carboxylic acid. The mixture was neutralized by the addition of AcOH (3.0 equiv) and then filtered through a 0.2 micron filter and purified by preparative reverse phase HPLC (MeCN/H₂O containing 0.1% TFA, 5-95% gradient) to give the desired carboxylic acid as the trifluoroacetic acid salt.

Example 7 Synthesis of Exemplary Compounds

Certain exemplary compounds were synthesized using general procedures described herein, for example, procedures in Examples 5 and 6. The structures of the compounds and mass spectroscopy data (m/z) are listed below.

Compound No Structure m/z 1a and 1c

417.2 2a

433.3 3a and 3c

437.2 4a and 4c

465.2 5a

489.2 6a

505.2 6c

505.1 7a and 7c

530.1 8a

505.2 9a

505.2 10a

505.2 11a

555.2 12a

545.3 13a and 13c

531.3 13a

531.3 13c

531.3 14a

522.3 15a

577.3 16a

522.3 17a

438.2 18a

438.2 19a

438.2 20a and 20c

506.1 21a

479.3 21c

479.3 22a

459.3 23a and 23c

484.3 24a

491.3 25a

491.3 26a

477.3 27a

491.3 28a

491.3 29a

527.2 30a

527.3 31a and 31c

478.2

BIOLOGICAL EXAMPLES Example B1—Solid Phase Integrin αvβ6 Binding Assay

Microplates were coated with recombinant human integrin αvβ6 (2 ug/ml) in PBS (100 ul/well 25° C. overnight). The coating solution was removed, washed with wash buffer (0.05% Tween 20; 0.5 mM MnCl2; in 1×TBS). Plate was blocked with 200 ul/well of Block Buffer (1% BSA; 5% sucrose; 0.5 mM MnCl2; in 1×TBS) at 37° C. for 2 h. Dilutions of testing compounds and recombinant TGFβ1 LAP (0.67 ug/ml) in binding buffer (0.05% BSA; 2.5% sucrose; 0.5 mM MnCl2; in 1×TBS) were added. The plate was incubated for 2 hours at 25° C., washed, and incubated for 1 hour with Biotin-Anti-hLAP. Bound antibody was detected by peroxidase-conjugated streptavidin. The IC₅₀ values for testing compounds were calculated by a four-parameter logistic regression.

The IC₅₀ values obtained for αvβ6 integrin inhibition for exemplary compounds are shown in Table B-1. The compounds tested were compound samples prepared according to procedures described in the Synthetic Examples section, with the stereochemical purity as indicated in the Examples indicated.

TABLE B-1 Compound αvβ6 Inhibition IC₅₀ (nM)- No. range  1c <50  2a <50 3a and 3c <50 4a and 4c <50  5a <50  6a <50  6c 250-1000 7a and 7c <50  8a <50  9a <50 10a <50 11a <50 12a >1000 13a and 13c <50 13a <50 13c <50 14a 50-250 15a <50 16a >1000 17a 50-250 18a <50 19a 50-250 20a and 20c <50 21a <50 21c <50 22a 50-250 23a and 23c 50-250 24a <50 25a 50-250 26a <50 27a <50 28a <50 29a <50 30a <50 31a and 31c <50 33 >1000 34 >1000 35 <50 36 <50 37 <50 38 <50 39 50-250 40 250-1000 41 50-250 42 250-4000 43 <50 44 <50 45 <50 46 <50 47 <50 48 <50 49 <50 50 <50 51 <50 52 50-250 53 <50 54 <50 55 <50 56 <50 57 <50 58 <50 59 <50 60 <50 61 <50 62 50-250 63 50-250 64 50-250 65 50-250 66 <50 67 <50 68 <50 69 50-250 70 <50 71 <50 72 <50 73 <50 74 <50 75 <50 76 <50 77 <50 78 <50 79 <50 80 <50 81 50-250 82 <50 83 <50 84 <50 85 <50 86 <50 87 <50 88 <50 89 <50 90 <50 91 50-250 92 <50 93 50-250 94 50-250 95 <50 96 50-250 97 50-250 98 250-1000 99 <50 100 50-250 101 250-1000 102 250-1000 103 <50 104 <50 105 50-250 106 50-50 107 50-50 108 250-1000 109 50-250 110 <50 111 >1000 112 >1000 113 >1000 114 250-1000 115 <50 116 >1000 117 250-1000 118 250-1000 119 250-1000 120 50-250 121 250-1000 122 250-1000 123 <50 124 50-250 125 250-1000 126 >1000 127 <50 128 250-1000 129 250-1000 130 250-1000 131 50-250 132 50-250 133 250-1000 134 250-1000 135 >1000 136 >1000 137 >1000 138 250-1000 139 250-1000 140 >1000 141 <50 142 >1000 143 >1000 144 >1000 145 >1000 146 <50 147 >1000

All references throughout, such as publications, patents, patent applications and published patent applications, are incorporated herein by reference in their entireties.

Although the foregoing invention has been described in some detail by way of illustration and example for purposes of clarity of understanding, it is apparent to those skilled in the art that certain minor changes and modifications will be practiced. Therefore, the description and examples should not be construed as limiting the scope of the invention. 

The invention claimed is:
 1. A compound of formula (I-A):

or a salt thereof, wherein: R¹ is C₁-C₆ alkyl, C₃-C₈ cycloalkyl, C₆-C₁₄ aryl, 5- to 10-membered heteroaryl, 3- to 12-membered heterocyclyl, —OR² or —NR^(3a)R^(3b), wherein the C₁-C₆ alkyl, C₃-C₈ cycloalkyl, C₆-C₁₄ aryl, 5- to 10-membered heteroaryl, and 3- to 12-membered heterocyclyl of R¹ are independently optionally substituted by R¹⁰; R² is C₁-C₆ alkyl, C₃-C₈ cycloalkyl, C₆-C₁₄ aryl, 5- to 10-membered heteroaryl, or 3- to 12-membered heterocyclyl, wherein the C₁-C₆ alkyl, C₃-C₈ cycloalkyl, C₆-C₁₄ aryl, 5- to 10-membered heteroaryl, and 3- to 12-membered heterocyclyl of R² are independently optionally substituted by R¹⁰; R^(3a) and R^(3b) are independently hydrogen, C₁-C₆ alkyl, C₃-C₈ cycloalkyl, C₆-C₁₄ aryl, 5- to 10-membered heteroaryl, or 3- to 12-membered heterocyclyl, wherein the C₁-C₆ alkyl, C₃-C₈ cycloalkyl, C₆-C₁₄ aryl, 5- to 10-membered heteroaryl, and 3- to 12-membered heterocyclyl of R^(3a) and R^(3b) are independently optionally substituted by R¹⁰; or R^(3a) and R^(3b) are taken together with the nitrogen to which they are attached to form a 4- to 8-membered heterocyclyl optionally substituted by R¹⁰; n is 1 or 2; s is 0, 1 or 2, wherein the sum of n and s is 1, 2 or 3; the ring defined by

is present or absent; m is 0 to 6; each R⁵, where present, is independently C₁-C₆ alkyl, C₃-C₆ cycloalkyl, halogen, —CN, —OR^(5a), —C(O)OR^(5a), —NR^(5a)C(O)R^(5b); —NR^(5c)R^(5d), —C(O)NR^(5c)R^(5d), —SO₂R^(5e), or —SO₂NR^(5c)R^(5d), wherein the C₁-C₆ alkyl and C₃-C₆ cycloalkyl are independently optionally substituted by R¹⁰; each R^(5a) and R^(5b) is independently hydrogen, C₁-C₆ alkyl, C₃-C₈ cycloalkyl, C₆-C₁₄ aryl, 5- to 10-membered heteroaryl, or 3- to 12-membered heterocyclyl, wherein the C₁-C₆ alkyl, C₃-C₈ cycloalkyl, C₆-C₁₄ aryl, 5- to 10-membered heteroaryl, and 3- to 12-membered heterocyclyl of R^(5a) and R^(5b) are independently optionally substituted by R¹⁰; each R^(5c) and R^(5d) is independently hydrogen, C₁-C₆ alkyl, C₃-C₈ cycloalkyl, C₆-C₁₄ aryl, 5- to 10-membered heteroaryl, or 3- to 12-membered heterocyclyl, wherein the C₁-C₆ alkyl, C₃-C₈ cycloalkyl, C₆-C₁₄ aryl, 5- to 10-membered heteroaryl, and 3- to 12-membered heterocyclyl of R^(5c) and R^(5d) are independently optionally substituted by R¹⁰; or R^(5c) and R^(5d) are taken together with the nitrogen to which they are attached to form a 4- to 8-membered heterocyclyl optionally substituted by R¹⁰; each R^(5e) is independently C₁-C₆ alkyl, C₃-C₈ cycloalkyl, C₆-C₁₄ aryl, 5- to 10-membered heteroaryl, or 3- to 12-membered heterocyclyl, wherein the C₁-C₆ alkyl, C₃-C₈ cycloalkyl, C₆-C₁₄ aryl, 5- to 10-membered heteroaryl, and 3- to 12-membered heterocyclyl of R^(5e) are independently optionally substituted by R¹⁰; X is C₁-C₃ alkylene optionally substituted by R¹⁰, —N(R¹¹)—C₁-C₃ alkylene optionally substituted by R¹⁰, —C₁-C₃ alkylene-N(R¹¹)— optionally substituted by R¹⁰, —C₁-C₃ alkylene-N(R¹¹)—C₁-C₃ alkylene- optionally substituted by R¹⁰, —O—C₁-C₃ alkylene optionally substituted by R¹⁰, —C₁-C₃ alkylene-O— optionally substituted by R¹⁰, —C₁-C₃ alkylene-O—C₁-C₃ alkylene- optionally substituted by R¹⁰; Y is C(R^(ya))(R^(yb)) or N(R¹¹); each of R^(ya) and R^(yb) is independently H, C₁-C₆ alkyl, C₃-C₆ cycloalkyl, halogen, —CN, —OR^(5a), —C(O)OR^(5a), —NR^(5a)C(O)R^(5b); —NR^(5c)R^(5d), —C(O)NR^(5c)R^(5d), —SO₂R^(5e), or —SO₂NR^(5c)R^(5d), wherein the C₁-C₆ alkyl and C₃-C₆ cycloalkyl are independently optionally substituted by R¹⁰; p is 0 to 2; q is 0 to 6; each R⁷, where present, is independently C₁-C₆ alkyl optionally substituted by halogen or —OH, C₃-C₆ cycloalkyl, halogen, —CN, —NO₂, —OR^(7a), or —NR^(7b)R^(7c); each R^(7a), R^(7b) and R^(7c) is independently hydrogen or C₁-C₃ alkyl; each R⁸, where present, is independently C₁-C₆ alkyl, C₃-C₆ cycloalkyl, halogen, oxo or —OR^(8a), wherein the C₁-C₆ alkyl and C₃-C₆ cycloalkyl are independently optionally substituted by R¹⁰; R^(8a) is hydrogen or C₁-C₆ alkyl; each R⁹ is independently C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, halogen, —CN, —OR¹¹, —SR¹¹, —NR¹²R¹³, —NO₂, —C═NH(OR¹¹), —C(O)R¹¹, —OC(O)R¹¹, —C(O)OR¹¹, —C(O)NR¹²R¹³, —NR¹¹C(O)R¹², —NR¹¹C(O)OR¹², —NR¹¹C(O)NR¹²R¹³, —S(O)R¹¹, —S(O)₂R¹¹, —NR¹¹S(O)R¹², —NR¹¹S(O)₂R¹², —S(O)NR¹²R¹³, —S(O)₂NR¹²R¹³, —P(O)(OR¹²)(OR¹³), C₃-C₈ cycloalkyl, 3- to 12-membered heterocyclyl, 5- to 10-membered heteroaryl, C₆-C₁₄ aryl, wherein each R⁹ is independently optionally substituted by halogen, oxo, —OR¹⁴, —NR¹⁴R¹⁵, —C(O)R¹⁴, —CN, —S(O)R¹⁴, —S(O)₂R¹⁴, —P(O)(OR¹⁴)(OR¹⁵), C₃-C₈ cycloalkyl, 3- to 12-membered heterocyclyl, 5- to 10-membered heteroaryl, C₆-C₁₄ aryl, or C₁-C₆ alkyl optionally substituted by oxo, —OH or halogen; each R¹⁰ is independently oxo or R⁹; R¹¹ is independently hydrogen, C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, C₃-C₆ cycloalkyl, C₆-C₁₄ aryl, 5- to 6-membered heteroaryl or 3- to 6-membered heterocyclyl, wherein the C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, C₃-C₆ cycloalkyl, C₆-C₁₄ aryl, 5- to 6-membered heteroaryl and 3- to 6-membered heterocyclyl are independently optionally substituted by halogen, oxo, —CN, —OR¹⁶, —NR¹⁶R¹⁷, —P(O)(OR¹⁶)(OR¹⁷), or C₁-C₆ alkyl optionally substituted by halogen, —OH or oxo; R¹² and R¹³ are each independently hydrogen, C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, C₃-C₆ cycloalkyl, C₆-C₁₄ aryl, 5- to 6-membered heteroaryl or 3- to 6-membered heterocyclyl, wherein the C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, C₃-C₆ cycloalkyl, C₆-C₁₄ aryl, 5- to 6-membered heteroaryl and 3- to 6-membered heterocyclyl are independently optionally substituted by halogen, oxo, —CN, —OR¹⁶, —NR¹⁶R¹⁷ or C₁-C₆ alkyl optionally substituted by halogen, —OH or oxo; or R¹² and R¹³ are taken together with the atom to which they attached to form a 3- to 6-membered heterocyclyl optionally substituted by halogen, oxo, —OR¹⁶, —NR¹⁶R¹⁷ or C₁-C₆ alkyl optionally substituted by halogen, oxo or —OH; R¹⁴ and R¹⁵ are each independently hydrogen, C₁-C₆ alkyl optionally substituted by halogen or oxo, C₂-C₆ alkenyl optionally substituted by halogen or oxo, or C₂-C₆ alkynyl optionally substituted by halogen or oxo; or R¹⁴ and R¹⁵ are taken together with the atom to which they are attached to form a 3- to 6-membered heterocyclyl optionally substituted by halogen, oxo or C₁-C₆ alkyl optionally substituted by halogen or oxo; and R¹⁶ and R¹⁷ are each independently hydrogen, C₁-C₆ alkyl optionally substituted by halogen or oxo, C₂-C₆ alkenyl optionally substituted by halogen or oxo, or C₂-C₆ alkynyl optionally substituted by halogen or oxo; or R¹⁶ and R¹⁷ are taken together with the atom to which they are attached to form a 3-6 membered heterocyclyl optionally substituted by halogen, oxo or C₁-C₆ alkyl optionally substituted by oxo or halogen.
 2. The compound of claim 1, or a salt thereof, wherein n is
 1. 3. The compound of claim 1, or a salt thereof, wherein n is
 2. 4. The compound of claim 1, or a salt thereof, wherein s is
 0. 5. The compound of claim 1, or a salt thereof, wherein s is
 1. 6. The compound of claim 1, or a salt thereof, wherein s is
 2. 7. The compound of claim 1, or a salt thereof, wherein X is C₁-C₃ alkylene.
 8. The compound of claim 1, or a salt thereof, wherein X is C₁-C₂ alkylene optionally substituted by R¹⁰.
 9. The compound of claim 1, or a salt thereof, wherein X is ethylene.
 10. The compound of claim 1, or a salt thereof, wherein Y is C(R^(ya))(R^(yb)), and wherein each of R^(ya) and R^(yb) is H.
 11. The compound of claim 1, or a salt thereof, wherein Y is N(R¹¹).
 12. The compound of claim 1, or a salt thereof, wherein the ring defined by

is present.
 13. The compound of claim 1, or a salt thereof, wherein the ring defined by

is absent.
 14. The compound of claim 1, or a salt thereof, wherein R¹ is a C₁-C₆ alkyl optionally substituted by R¹⁰.
 15. The compound of claim 1, or a salt thereof, wherein R¹ is —OR² or —NR^(3a)R^(3b).
 16. The compound of claim 15, or a salt thereof, wherein R¹ is —OR².
 17. The compound of claim 16, or a salt thereof, wherein R² is C₁-C₆ alkyl.
 18. The compound of claim 1, or a salt thereof, wherein R¹ is C₃-C₈ cycloalkyl optionally substituted by R¹⁰.
 19. The compound of claim 1, or a salt thereof, wherein R¹ is C₆-C₁₄ aryl optionally substituted by R¹⁰.
 20. The compound of claim 1, or a salt thereof, wherein R¹ is phenyl optionally substituted by R¹⁰.
 21. The compound of claim 1, or a salt thereof, wherein R¹ is 5- to 10-membered heteroaryl optionally substituted by R¹⁰.
 22. The compound of claim 21, or a salt thereof, wherein R¹ is pyridyl optionally substituted by R¹⁰.
 23. The compound of claim 21, or a salt thereof, wherein R¹ is indazolyl optionally substituted by R¹⁰.
 24. The compound of claim 1, or a salt thereof, wherein R¹ is 3- to 12-membered heterocyclyl optionally substituted by R¹⁰.
 25. The compound of claim 24, or a salt thereof, wherein R¹ is piperidinyl optionally substituted by R¹⁰.
 26. The compound of claim 24, or a salt thereof, wherein R¹ is tetrahydropyranyl optionally substituted by R¹⁰.
 27. The compound of claim 1, or a salt thereof, wherein R¹ is C₃-C₈ cycloalkyl substituted by R¹⁰.
 28. The compound of claim 27, or a salt thereof, wherein R¹ is cyclohexyl optionally substituted by R¹⁰.
 29. The compound of claim 1, or a salt thereof, wherein R¹ is selected from the group consisting of:


30. The compound of claim 1, wherein the compound is selected from the group consisting of:

or a salt thereof.
 31. The compound of claim 1, wherein the compound is selected from the group consisting of:

or a salt thereof.
 32. The compound of claim 1, wherein the compound is selected from the group consisting of:

or a salt thereof.
 33. The compound of claim 1, wherein the compound is selected from the group consisting of:

or a salt thereof.
 34. The compound of claim 1, wherein the compound is selected from the group consisting of:

or a salt thereof.
 35. A pharmaceutical composition comprising a compound of claim 1, or a salt thereof, and a pharmaceutically acceptable carrier or excipient.
 36. A kit comprising a compound of claim 1, or a pharmaceutically acceptable salt thereof.
 37. The kit of claim 36, further comprising instructions for the treatment of a fibrotic disease.
 38. A method of treating a fibrotic disease in an individual in need thereof comprising administering a compound of claim 1 or a pharmaceutically acceptable salt thereof.
 39. The method of claim 38, wherein the fibrotic disease is pulmonary fibrosis, liver fibrosis, skin fibrosis, cardiac fibrosis, kidney fibrosis, gastrointestinal fibrosis, primary sclerosing cholangitis, or biliary fibrosis.
 40. A method of inhibiting αvβ6 integrin in an individual comprising administering a compound of claim 1 or a pharmaceutically acceptable salt thereof.
 41. A method of inhibiting TGFβ activation in a cell comprising administering to the cell a compound of claim 1 or a pharmaceutically acceptable salt thereof. 